Abstract
Background
A cerebral arteriovenous fistula is a rare neurovascular abnormality. It is very scarce when presenting with other cerebral arteriovenous malformations after embolization.
Method
We reported a case primarily presenting with cerebral arteriovenous fistula. When the fistula was embolized completely, de novo multiple dural arteriovenous fistulas and a small arteriovenous malformation occurred due to the hemodynamic change after the embolization. Embolization of parts of the fistulas for the second time led to an untreatable malformation which became curable. At the third time, the remaining fistula was cured.
Results
The mechanism of the dural arteriovenous fistula and treatment strategy were discussed.
Conclusion
Venous hypertension is the main factor causing a dural arteriovenous fistula. Embolization of the fistulas step by step is recommended.
Similar content being viewed by others
References
Weon YC, Yoshida Y, Sachet M, Mahadevan J, Alvarez H, Rodesch G, Lasjaunias P (2005) Supratentorial cerebral arteriovenous fistulas (AVFs) in children: review of 41 cases with 63 non choroidal single-hole AVFs. Acta Neurochir (Wien) 147:17–31
Lasjaunias P, Magufis A, Goulao R, Suthipongchai S, Rodesch R, Alvarez H (1996) Anatomical and clinical aspects of dural arteriovenous shunts in children. Interv Neuroradiol 2:179–191
Lasjaunias P, ter Brugge KG, Berenstein A (2006) Cerebral arteriovenous fistulas. In: Lasjaunias P, ter Brugge KG, Berenstein A (eds) Surgical neuroangiography: clinical and interventional aspects in children, 2nd edn. Springer, Berlin, pp 249–265
Lv X, Li Y, Jiang C, Wu Z (2009) Endovascular treatment of brain arteriovenous fistulas. AJNR 30:851–856
Hsu HY, Wang PY, Chi-Chun Chen C, Hu HH (2004) Dural arteriovenous fistula after cerebral sinus thrombosis. J Ultrasound Med 23:1095–1100
Pan HC, Sheehan J, Huang CF, Yang DY (2007) Two consecutive dural arteriovenous fistulae in a child: a case report of successful treatment with gamma knife radiosurgery. Childs Nerv Syst 23:1185–1190
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bai, Y., He, C., Zhang, H. et al. De novo multiple dural arteriovenous fistulas and arteriovenous malformation after embolization of cerebral arteriovenous fistula: case report. Childs Nerv Syst 28, 1981–1983 (2012). https://doi.org/10.1007/s00381-012-1878-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-012-1878-6