Intracranial Pial Arteriovenous Fistula Presenting with Hemorrhage: A Case Report.
10.7461/jcen.2012.14.4.305
- Author:
Jin Soo LEE
1
;
Chang Wan OH
;
Jae Sung BANG
;
O Ki KWON
;
Gyojun HWANG
Author Information
1. Department of Neurosurgery, Seoul National University Bundang Hospital, Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea. wanoh@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Intracranial;
Pial;
Arteriovenous fistula
- MeSH:
Arteries;
Arteriovenous Fistula;
Arteriovenous Malformations;
Cerebral Angiography;
Cerebral Veins;
Drainage;
Hematoma;
Humans;
Middle Cerebral Artery;
Neurologic Manifestations;
Temporal Lobe;
Veins
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2012;14(4):305-308
- CountryRepublic of Korea
- Language:English
-
Abstract:
Intracranial pial arteriovenous fistula (AVF) is a rare cerebrovascular malformation, which has a single or multiple arterial connections to a single venous channel without intervening nidus, and is different from arteriovenous malformation (AVM). We report on a case of a surgically treated pial AVF. A 15-year-old girl with an altered mental state was brought to our hospital. Computed tomography (CT) showed a subcortical hematoma of approximately 24 ml in her right temporal lobe. Cerebral angiography showed an AVF supplied by the right middle cerebral artery with early drainage into the Sylvian vein and the vein of Labbe. She underwent surgical treatment with feeding artery obliteration using a clip and hematoma removal. The patient was discharged without neurologic deficits. Despite the rarity of pial AVF, for correct diagnosis and treatment, neurosurgeons should recognize this condition. Pial AVF can be managed simply by disconnection of the shunt by surgery or endovascular treatment, and a good result can be achieved.
