Intracranial Pial Arteriovenous Fistula Presenting with Hemorrhage: A Case Report

Intracranial Pial Arteriovenous Fistula Presenting with Hemorrhage: A Case Report

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...

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Main Authors: Lee, Jin Soo, Oh, Chang Wan, Bang, Jae Sung, Kwon, O-Ki, Hwang, Gyojun
Format: Online
Language:English
Published: Korean Society of Cerebrovascular Surgeons; Korean Society of Endovascular Surgery 2012
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3543917/
id pubmed-3543917
recordtype oai_dc
spelling pubmed-35439172013-01-23 Intracranial Pial Arteriovenous Fistula Presenting with Hemorrhage: A Case Report Lee, Jin Soo Oh, Chang Wan Bang, Jae Sung Kwon, O-Ki Hwang, Gyojun Case Report 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. Korean Society of Cerebrovascular Surgeons; Korean Society of Endovascular Surgery 2012-12 2012-12-29 /pmc/articles/PMC3543917/ /pubmed/23346547 http://dx.doi.org/10.7461/jcen.2012.14.4.305 Text en © 2012 Journal of Cerebrovascular and Endovascular Neurosurgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Lee, Jin Soo
Oh, Chang Wan
Bang, Jae Sung
Kwon, O-Ki
Hwang, Gyojun
spellingShingle Lee, Jin Soo
Oh, Chang Wan
Bang, Jae Sung
Kwon, O-Ki
Hwang, Gyojun
Intracranial Pial Arteriovenous Fistula Presenting with Hemorrhage: A Case Report
author_facet Lee, Jin Soo
Oh, Chang Wan
Bang, Jae Sung
Kwon, O-Ki
Hwang, Gyojun
author_sort Lee, Jin Soo
title Intracranial Pial Arteriovenous Fistula Presenting with Hemorrhage: A Case Report
title_short Intracranial Pial Arteriovenous Fistula Presenting with Hemorrhage: A Case Report
title_full Intracranial Pial Arteriovenous Fistula Presenting with Hemorrhage: A Case Report
title_fullStr Intracranial Pial Arteriovenous Fistula Presenting with Hemorrhage: A Case Report
title_full_unstemmed Intracranial Pial Arteriovenous Fistula Presenting with Hemorrhage: A Case Report
title_sort intracranial pial arteriovenous fistula presenting with hemorrhage: a case report
description 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.
publisher Korean Society of Cerebrovascular Surgeons; Korean Society of Endovascular Surgery
publishDate 2012
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3543917/
_version_ 1611946628452712448

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