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Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2016; 35(03): 248-252
DOI: 10.1055/s-0036-1592105
Case Report | Relato de Caso
Thieme Publicações Ltda Rio de Janeiro, Brazil

Postoperative Dural Arteriovenous Fistula after Clipping of Ruptured Saccular Aneurysm of Pericallosal Artery

Fístula arteriovenosa dural em pós-operatório de clipagem de aneurisma sacular roto de artéria pericalosa
Zeferino Demartini Jr
1   Department of Neurosurgery, Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná – PUCPR, Curitiba, PR, Brazil
,
Matheus Rodrigo Laurenti
2   Department of Neurosurgery, Hospital de Base, São José do Rio Preto, SP, Brazil
,
Tatiana von Hertwig de Oliveira
1   Department of Neurosurgery, Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná – PUCPR, Curitiba, PR, Brazil
,
Gelson Luis Koppe
1   Department of Neurosurgery, Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná – PUCPR, Curitiba, PR, Brazil
,
Marcio Luiz Tostes dos Santos
2   Department of Neurosurgery, Hospital de Base, São José do Rio Preto, SP, Brazil
,
Alexandre N. Francisco
1   Department of Neurosurgery, Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná – PUCPR, Curitiba, PR, Brazil
› Institutsangaben
Weitere Informationen

Publikationsverlauf

05. Februar 2016

01. August 2016

Publikationsdatum:
01. September 2016 (online)

   Lizenzen und Reprints

Abstract

Dural arteriovenous fistulas (DAVFs) are pathologic dural shunts characterized by meningeal arterial supply, absence of nidus and drainage to dural venous sinuses or cortical veins. They are usually acquired lesions associated with specific disease and inflammatory processes, including craniotomy. We report a case of postoperative DAVF in a 59 year-old male presenting with a ruptured distal right anterior cerebral artery aneurysm. After an uneventful microsurgery for clipping, meningitis occurred on the ninth day, and was successfully treated. The one-year control angiogram showed a left occipital DAVF. The relevant literature on the occurrence of DAVFs is also presented.

Resumo

Fístulas arteriovenosas durais (FAVDs) são comunicações patológicas caracterizadas por suprimento arterial meníngeo, ausência de nidus e drenagem para seios venosos durais ou veias corticais. As fístulas são geralmente adquiridas, secundárias a processos inflamatórios e doenças específicas, podendo ocorrer após craniotomia. Relatamos um caso de FAVD ocorrido em um homem de 59 anos de idade com aneurisma intracraniano roto em artéria cerebral anterior direita distal, submetido a microcirurgia e clipagem, e evoluindo com meningite pós-operatória. O paciente apresentou boa evolução, mas na angiografia de controle um ano após a cirurgia foi identificada FAVD em seio transverso-sigmoide esquerdo. Uma revisão da literatura focada na etiologia também é apresentada.

Keywords

cerebrovascular disorders - intracranial arteriovenous malformations - arteriovenous fistula - intracranial aneurysm - postoperative care - intracranial hemorrhages

Palavras-chave

malformações arteriovenosas intracranianas - fístula arteriovenosa - transtornos cerebrovasculares - aneurisma roto - cuidados pós-operatórios - hemorragias intracranianas
 

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