Spontaneous Aggressive Conversion of Venous Drainage Pattern in Dural Arteriovenous Fistula Treated with Onyx Embolization.
10.7461/jcen.2016.18.4.396
- Author:
Yeongu CHUNG
1
;
Seok Keun CHOI
;
Sung Ho LEE
;
Eui Jong KIM
Author Information
1. Department of Neurosurgery, Kyung Hee University Hospital, College of Medicine, Kyung Hee University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Conversion of venous drainage pattern;
Cortical venous reflux;
Dural arteriovenous fistula;
Onyx embolization
- MeSH:
Angiography;
Central Nervous System Vascular Malformations*;
Drainage*;
Follow-Up Studies;
Humans;
Meningeal Arteries;
Seizures
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2016;18(4):396-401
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of dural arteriovenous fistula (DAVF) that showed spontaneous conversion of venous drainage pattern from Borden type II to type III within a four month period of follow-up. Upon admission, the patient presented with aggravated neurologic status and newly developed seizure. After admission, endovascular embolization was performed through the middle meningeal artery with Onyx®. Complete obliteration of dural arteriovenous shunt was confirmed by angiography, and the patient's clinical symptoms improved. Although most cases of DAVF show benign clinical course and conversion pattern, close follow-up is required to detect potential aggravation.
