Dural arteriovenous fistula manifesting as pontine hemorrhage at the craniocervical junction.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 28271297.
- Also identified by DOI 10.1007/s00701-017-3135-y.
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Abstract
Craniocervical junction (CCJ) dural arteriovenous fistula (DAVF) manifesting as intracerebral hemorrhage is extremely rare. We report the first case of CCJ-DAVF manifesting as pontine hemorrhage. A 69-year-old male presented with a pontine hemorrhage manifesting as a sudden onset of right hemiparesis and dysarthria. Digital subtraction angiography revealed a CCJ-DAVF fed by the meningeal branches of the right vertebral artery. The patient underwent surgical ligation of the cerebral draining veins to prevent re-bleeding. The postoperative course was uneventful. The patient had no neurological deficit after 1 month rehabilitation.
Medical subject headings
- Central Nervous System Vascular Malformations
- Cerebral Hemorrhage
- Pons