AI Article Synopsis
- Dural arteriovenous fistula (dAVF) linked to an intracranial tumor is uncommon, and this case report highlights the first instance of dAVF associated with bleeding within a tumor.
- A 59-year-old woman experienced symptoms like temporary speech difficulties and was found to have a dAVF and a tumor with bleeding, confirmed by imaging and cerebral angiography.
- The patient underwent surgical procedures to remove both the dAVF and the tumor, which was identified as a transitional meningioma, and she was discharged with no neurological issues.
Article Abstract
Dural arteriovenous fistula (dAVF) associated with an intracranial tumor is a relatively rare condition. Furthermore, to our knowledge, this is the first case report of dAVF associated with intratumor hemorrhage. We experienced this very rare case and report it here, along with a literature review. A 59-year-old woman presented with transient aphasia and dysgraphia. Computed tomography, magnetic resonance imaging, and angiography showed left anterior cranial fossa dAVF and a tumor with an intratumor hemorrhage. Cerebral angiography demonstrated AV shunts from the left ethmoidal artery via cortical vein flow into the superior sagittal sinus. She underwent shunt-point extirpation for the dAVF and removal of the tumor. The histological finding indicated transitional meningioma. The patient was discharged without any neurological deficit. A dAVF with intratumor hemorrhage is very rare and may be due to the venous congestion of the tumor draining vein by venous hypertension caused by the dAVF.
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| http://dx.doi.org/10.1016/j.jocn.2018.10.008 | DOI Listing |
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