Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Dural Arteriovenous Fistula Presenting with Cerebral Infarction

  • Hwang, In-Chang (Departments of Neurosurgery, School of Medicine Gyeongsang Institute of Health Science, Gyeongsang National University) ;
  • Park, In-Sung (Departments of Neurosurgery, School of Medicine Gyeongsang Institute of Health Science, Gyeongsang National University) ;
  • Choi, Dae-Seob (Departments of Diagnostic Radiology, School of Medicine Gyeongsang Institute of Health Science, Gyeongsang National University) ;
  • Ryoo, Jae-Wook (Departments of Diagnostic Radiology, School of Medicine Gyeongsang Institute of Health Science, Gyeongsang National University)
  • Published : 2007.06.30
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Abstract

We report on a diabetic 52-year-old man who complained ocular floating sensation, headache and dizziness, in whom a left parieto-occipital dural ateriovenous fistulas [DAVFs], fed by bilateral superficial temporal arteries and occipital artery, drained into the cortical vein of the left parieto-occipital convexity. Because the patient's chief complaint was ocular symptom for diabetic retinopathy, we initially didn't consider an DAVFs until brain magnetic resonance imaging [MRI] was done. Diffusion-weighted brain MRI revealed acute cerebral infarction and microhemorrhage in the lesion. Transarterial embolization with mixture of glue and lipiodol obliterated the DAVFs completely. Although the DAVFs fed by multi-arteries, the fistulous portion has been disappeared after embolization via an only left occipital artery Endovascular embolization of the fistula led to symptomatic improvement, except ocular discomfort.

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References

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