| Dural arteriovenous fistula on the convexity presenting with pure acute subdural hematoma. | |
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MedLine Citation:
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PMID: 20873450 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Non-traumatic dural arteriovenous fistula/malformation (dural AVF/AVM) presenting with pure subdural hematoma (SDH) is relatively rare. We report on a male patient who showed pure acute SDH and was diagnosed as having dural AVF on the convexity near the superior sagittal sinus (SSS), based on angiographic findings. A 27-year-old man was admitted to our hospital due to headache with acute onset. The patient did not have a history of head trauma or injury. Head CT showed an abnormal high-density area on the surface of the cerebral hemisphere on the left side, indicating acute SDH. Angiography during the arterial phase demonstrated that an abnormal artery originating from the left occipital artery was connected with a dural vein and a diploic vein on the convexity near the SSS. We concluded that a dural AVF existed at this area, and that the dural AVF had caused the acute SDH. Dural AVF/AVM which causes non-traumatic SDH is usually accompanied by intracerebral hemorrhage (ICH) and/or subarachnoid hemorrhage (SAH). In contrast, non-traumatic dural AVF/AVM presenting with pure SDH is rare, and our patient represents such a rare case. We should consider dural AVF/AVM and perform angiography if necessary when we encounter a patient showing non-traumatic SDH without ICH and/or SAH. |
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Authors:
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Katsuhiko Ogawa; Minoru Oishi; Tomohiko Mizutani; Sadahiro Maejima; Tatsuro Mori |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta neurologica Belgica Volume: 110 ISSN: 0300-9009 ISO Abbreviation: Acta Neurol Belg Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-09-29 Completed Date: 2010-10-26 Revised Date: 2011-07-13 |
Medline Journal Info:
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Nlm Unique ID: 0247035 Medline TA: Acta Neurol Belg Country: Belgium |
Other Details:
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Languages: eng Pagination: 190-2 Citation Subset: IM |
Affiliation:
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Department of Neurology, Nihon University School of Medicine, Nerimahikarigaoka Hospital, Tokyo, Japan. ogawak@med.nihon-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Central Nervous System Vascular Malformations / complications*, diagnosis Coronary Angiography / methods Disease Progression Hematoma, Subdural, Acute / complications*, diagnosis Humans Male Tomography, X-Ray Computed / methods |
| Comments/Corrections | |
Comment In:
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Acta Neurol Belg. 2011 Jun;111(2):174
[PMID:
21748949
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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