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A 54-year-old man presented with gait disturbances, urinary incontinence, and headache for 6 months. Head computed tomography indicated several high-density mass lesions in the quadrigeminal cistern, causing occlusive hydrocephalus. Digital subtraction angiography confirmed tentorial dural arteriovenous fistulae (AVF).

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Traumatic direct type carotid cavernous fistula (CCF) is an acquired arteriovenous shunt between the carotid artery and the cavernous sinus post severe craniofacial trauma or iatrogenic injury. We reported a 46-year-old woman who had developed a traumatic direct type CCF after severe head trauma with a skull base fracture and brain contusion hemorrhage. The clinical manifestations of the patient included pulsatile exophthalmos, proptosis, bruits, chemosis, and a decline in consciousness.

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Emergency neurosurgical hybrid operating platform for acute intracranial hemorrhage (E-HOPE).

Chin Neurosurg J

December 2024

Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China.

Background: Precise diagnosis and rapid treatment for acute complex intracranial hemorrhage (ICH) are crucial. The neurosurgical hybrid operating platform integrates traditional open neurosurgery operating room functionalities with endovascular therapy capabilities and is developing in the neurosurgical practice. However, its effect on the emergent complicated neurovascular cases needs pilot exploration.

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Article Synopsis
  • Arteriovenous fistula is an unusual connection between arteries and veins, often resulting from surgery or other medical procedures, but can sometimes occur spontaneously, which is rare.
  • A case was reported involving a 54-year-old Ethiopian woman with chronic kidney disease on regular hemodialysis, who developed a pulsatile mass in her thigh without history of trauma or surgery.
  • The fistula was diagnosed using a CT angiography and successfully treated through open surgery without any complications.
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