Dural arteriovenous fistulas represent approximately 10% of all intracranial vascular malformations, of which 1 to 2% are located at the craniocervical junction. Their location at the craniocervical junction is uncommon but potentially significant, given its proximity to and relationship with vital anatomical structures in this region. The association of a dural arteriovenous fistula with a venous aneurysm is rare. In this report, we present the case of a 49-year-old patient with no particular pathological history who was admitted for acute headaches. The neurological examination revealed a patient with grade I WFNS, intracranial hypertension syndrome. Radiological investigations including CT, CT angio and MRI revealed a fisher IV subarachnoid hemorrhage due to a ruptured venous aneurysm associated to an arteriovenous fistula at the craniocervical junction. He underwent clipping of the veinous aneurysm and microsurgical obliteration of the fistula. The postoperative course was uneventful. The clinical examination at 1-year post-op was unremarkable, and the follow-up MRI at 1-year post-op showed complete obliteration of the malformation. This report showed ruptured dural arteriovenous fistula should be considered in the etiology workup for posterior fossa subarachnoid hemorrhage. Effective and safe obliteration is possible without angiography.
| Published in | International Journal of Neurosurgery (Volume 8, Issue 2) |
| DOI | 10.11648/j.ijn.20240802.15 |
| Page(s) | 45-49 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Subarachnoid Hemorrhage, Craniocervical Junction, Dural Arteriovenous Fistula, Venous Aneurysm, Microsurgical Obliteration
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APA Style
Thioub, M., Atakla, H. G., Mbaye, M., Wague, D., Djigo, R. S., et al. (2024). Subarachnoid Hemorrhage Revealing a Fistula Point Venous Aneurysm in a Dural Arteriovenous Fistula at the Craniocervical Junction: A Case Report. International Journal of Neurosurgery, 8(2), 45-49. https://doi.org/10.11648/j.ijn.20240802.15
ACS Style
Thioub, M.; Atakla, H. G.; Mbaye, M.; Wague, D.; Djigo, R. S., et al. Subarachnoid Hemorrhage Revealing a Fistula Point Venous Aneurysm in a Dural Arteriovenous Fistula at the Craniocervical Junction: A Case Report. Int. J. Neurosurg. 2024, 8(2), 45-49. doi: 10.11648/j.ijn.20240802.15
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Download@article{10.11648/j.ijn.20240802.15,
author = {Mbaye Thioub and Hugues Ghislain Atakla and Maguette Mbaye and Daouda Wague and Richard Salif Djigo and Coumba Camara and El H Cheikh Ndiaye Sy and Mamadou Diawo Bah and Moustapha Diallo and Alioune Badara Thiam and Momar Codé Ba},
title = {Subarachnoid Hemorrhage Revealing a Fistula Point Venous Aneurysm in a Dural Arteriovenous Fistula at the Craniocervical Junction: A Case Report
},
journal = {International Journal of Neurosurgery},
volume = {8},
number = {2},
pages = {45-49},
doi = {10.11648/j.ijn.20240802.15},
url = {https://doi.org/10.11648/j.ijn.20240802.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20240802.15},
abstract = {Dural arteriovenous fistulas represent approximately 10% of all intracranial vascular malformations, of which 1 to 2% are located at the craniocervical junction. Their location at the craniocervical junction is uncommon but potentially significant, given its proximity to and relationship with vital anatomical structures in this region. The association of a dural arteriovenous fistula with a venous aneurysm is rare. In this report, we present the case of a 49-year-old patient with no particular pathological history who was admitted for acute headaches. The neurological examination revealed a patient with grade I WFNS, intracranial hypertension syndrome. Radiological investigations including CT, CT angio and MRI revealed a fisher IV subarachnoid hemorrhage due to a ruptured venous aneurysm associated to an arteriovenous fistula at the craniocervical junction. He underwent clipping of the veinous aneurysm and microsurgical obliteration of the fistula. The postoperative course was uneventful. The clinical examination at 1-year post-op was unremarkable, and the follow-up MRI at 1-year post-op showed complete obliteration of the malformation. This report showed ruptured dural arteriovenous fistula should be considered in the etiology workup for posterior fossa subarachnoid hemorrhage. Effective and safe obliteration is possible without angiography.
},
year = {2024}
}
TY - JOUR T1 - Subarachnoid Hemorrhage Revealing a Fistula Point Venous Aneurysm in a Dural Arteriovenous Fistula at the Craniocervical Junction: A Case Report AU - Mbaye Thioub AU - Hugues Ghislain Atakla AU - Maguette Mbaye AU - Daouda Wague AU - Richard Salif Djigo AU - Coumba Camara AU - El H Cheikh Ndiaye Sy AU - Mamadou Diawo Bah AU - Moustapha Diallo AU - Alioune Badara Thiam AU - Momar Codé Ba Y1 - 2024/12/31 PY - 2024 N1 - https://doi.org/10.11648/j.ijn.20240802.15 DO - 10.11648/j.ijn.20240802.15 T2 - International Journal of Neurosurgery JF - International Journal of Neurosurgery JO - International Journal of Neurosurgery SP - 45 EP - 49 PB - Science Publishing Group SN - 2640-1959 UR - https://doi.org/10.11648/j.ijn.20240802.15 AB - Dural arteriovenous fistulas represent approximately 10% of all intracranial vascular malformations, of which 1 to 2% are located at the craniocervical junction. Their location at the craniocervical junction is uncommon but potentially significant, given its proximity to and relationship with vital anatomical structures in this region. The association of a dural arteriovenous fistula with a venous aneurysm is rare. In this report, we present the case of a 49-year-old patient with no particular pathological history who was admitted for acute headaches. The neurological examination revealed a patient with grade I WFNS, intracranial hypertension syndrome. Radiological investigations including CT, CT angio and MRI revealed a fisher IV subarachnoid hemorrhage due to a ruptured venous aneurysm associated to an arteriovenous fistula at the craniocervical junction. He underwent clipping of the veinous aneurysm and microsurgical obliteration of the fistula. The postoperative course was uneventful. The clinical examination at 1-year post-op was unremarkable, and the follow-up MRI at 1-year post-op showed complete obliteration of the malformation. This report showed ruptured dural arteriovenous fistula should be considered in the etiology workup for posterior fossa subarachnoid hemorrhage. Effective and safe obliteration is possible without angiography. VL - 8 IS - 2 ER -
Department of Neurosurgery, Cheikh Anta Diop University, Dakar, Senegal
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