Elhussein N, A. AlHarbi M, Hamd ZY, Alorainy AI, Elshanawani M, Alsuhabani E, Alhariqi B, Abdullah Alhomida B, Hassan A. B. A. The impact of different imaging modalities in diagnosis and management of patient with dural arteriovenous fistula: A rare case report.
Trauma Case Rep 2024;
52:101044. [PMID:
38952476 PMCID:
PMC11214945 DOI:
10.1016/j.tcr.2024.101044]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/04/2024] [Indexed: 07/03/2024] Open
Abstract
In vascular neurosurgery, dural arteriovenous fistulas (DAVFs) are a difficult, challenging condition whose natural history and therapy are still debated. This case report presented a 30-year-old male patient who experienced intermittent headaches for two months, along with gradual weakness in all four limbs, resulting in quadriplegia. Magnetic resonance imaging (MRI), computed tomography (CT), and digital subtraction angiography (DSA) played a significant role in the diagnosis of the patient, in which the final diagnosis was vascular myelopathy due to Dural arteriovenous fistula (DAVF). A successful embolization procedure of arteriovenous fistula using balloon-assisted liquid embolic agents, through branches of the right occipital artery was performed, resulting in complete obliteration of the fistula. In order to improve the neurovascular symptoms that had previously been reported, the patient was effectively undergoing rehabilitation, with notable progress.
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