A Case Report of a Multi-Arterial Dural Arteriovenous Fistula.

Authors

William L. Valentino, HCA HealthcareFollow
Charles Stout, HCA HealthcareFollow
Duy Bui, HCA HealthcareFollow

Division

Far West

Hospital

Riverside Community Hospital

Document Type

Case Report

Publication Date

6-4-2022

Keywords

CTA, Cognard, DSA, Dural arteriovenous fistula, Embolization, Intracranial Hemorrhage.

Disciplines

Cardiovascular Diseases | Nervous System Diseases | Neurology | Radiology

Abstract

Dural arteriovenous fistulas are rare intracranial vascular malformations with a propensity for hemorrhage. The Cognard classification system is the most widespread classification system wherein type IIB through V must be promptly treated to avoid the risk of hemorrhage. The case presented herein reports a 71-year-old male presenting with vague non-hemorrhagic neurologic deficits found to have a Cognard type III dural arteriovenous fistula with multiple arterial feeders. Although quite obvious in retrospect, a DAVF can be missed even by an astute radiologist. This should be considered a "never miss" diagnosis as it carries a risk of intracranial hemorrhage and death.

Publisher or Conference

Radiology Case Reports

Recommended Citation

Valentino WL, Stout C, Bui D. A case report of a multi-arterial dural arteriovenous fistula. Radiol Case Rep. 2022;17(8):2790-2794. doi:10.1016/j.radcr.2022.05.009