CLC number: R743.3
On-line Access: 2017-08-08
Received: 2016-11-03
Revision Accepted: 2017-04-14
Crosschecked: 2017-07-19
Cited: 0
Clicked: 3643
Li-li Sun, Wen-xiong Tang, Lei Liu, Wei Wang, Si-xun Zhang, Zun-jing Liu. Dural arteriovenous fistula disguised as cerebral venous sinus thrombosis[J]. Journal of Zhejiang University Science B, 2017, 18(8): 733-736.
@article{title="Dural arteriovenous fistula disguised as cerebral venous sinus thrombosis",
author="Li-li Sun, Wen-xiong Tang, Lei Liu, Wei Wang, Si-xun Zhang, Zun-jing Liu",
journal="Journal of Zhejiang University Science B",
volume="18",
number="8",
pages="733-736",
year="2017",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B1600499"
}
%0 Journal Article
%T Dural arteriovenous fistula disguised as cerebral venous sinus thrombosis
%A Li-li Sun
%A Wen-xiong Tang
%A Lei Liu
%A Wei Wang
%A Si-xun Zhang
%A Zun-jing Liu
%J Journal of Zhejiang University SCIENCE B
%V 18
%N 8
%P 733-736
%@ 1673-1581
%D 2017
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1600499
TY - JOUR
T1 - Dural arteriovenous fistula disguised as cerebral venous sinus thrombosis
A1 - Li-li Sun
A1 - Wen-xiong Tang
A1 - Lei Liu
A1 - Wei Wang
A1 - Si-xun Zhang
A1 - Zun-jing Liu
J0 - Journal of Zhejiang University Science B
VL - 18
IS - 8
SP - 733
EP - 736
%@ 1673-1581
Y1 - 2017
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1600499
Abstract: dural arteriovenous fistulas (DAVFs) are direct communications between the intracranial arterial and venous systems without an intervening nidus. Clinicians sometimes fail to give a correct diagnosis of DAVF. Given the similarity of their clinical and magnetic resonance imaging (MRI) manifestations, diagnostic confusion may arise between DAVF and cerebral venous sinus thrombosis (CVST) (Simon et al., 2009). The clinical management of DAVFs differs from that of CVST (Ma et al., 2015; Yang et al., 2015). Anticoagulation therapy is restricted in some cases of DAVFs, especially when they are associated with retrograde venous flow, due to the increased risk of hemorrhage. Here we present a case of a DAVF patient who had been initially misdiagnosed as CVST. We summarize the reasons for misdiagnosis and give some recommendations to address this problem.
[1]Jagadeesan, B.D., Almandoz, J.E.D., Moran, C.J., et al., 2011. Accuracy of susceptibility-weighted imaging for the detection of arteriovenous shunting in vascular malformations of the brain. Stroke, 42(1):87-92.
[2]Kimchi, T.J., Lee, S.K., Agid, R., et al., 2007. Cerebral sinovenous thrombosis in children. Neuroimag. Clin. N. Am., 17(2):239-244.
[3]Kalra, V.B., Malhotra, A., Matouk, C.C., 2013. Teaching neuroimages: susceptibility-weighted MRI: first clue to DAVF complicating sinovenous thrombosis. Neurology, 80(21):e228.
[4]Kojima, T., Miyachi, S., Sahara, Y., et al., 2007. The relationship between venous hypertension and expression of vascular endothelial growth factor: hemodynamic and immunohistochemical examinations in a rat venous hypertension model. Surg. Neurol., 68(3):277-284.
[5]Letourneau-Guillon, L., Krings, T., 2012. Simultaneous arteriovenous shunting and venous congestion identification in dural arteriovenous fistulas using susceptibility-weighted imaging: initial experience. Am. J. Neuroradiol., 33(2):301-307.
[6]Ma, X., Ji, X.M., Fu, P., et al., 2015. Coexistence of high fibrinogen and low high-density lipoprotein cholesterol levels predicts recurrent cerebral venous thrombosis. Chin. Med. J., 128(13):1732-1737.
[7]Nakagawa, I., Taoka, T., Wada, T., et al., 2013. The use of susceptibility-weighted imaging as an indicator of retrograde leptomeningeal venous drainage and venous congestion with dural arteriovenous fistula: diagnosis and follow-up after treatment. Neurosurgery, 72(1):47-54. http://doi.org/10.1227/NEU.0b013e318276f7cc
[8]Nishio, A., Ohata, K., Tsuchida, K., et al., 2002. Dural arteriovenous fistula involving the superior sagittal sinus following sinus thrombosis—case report. Neurol. Med. Chir., 42(5):217-220.
[9]Safavi-Abbasi, S., di Rocco, F., Nakaji, P., et al., 2008. Thrombophilia due to factor V and factor II mutations and formation of a dural arteriovenous fistula: case report and review of a rare entity. Skull Base-Interdiscip. Appr., 18(2):135-143.
[10]Shimizu, S., Sato, S., Iida, H., et al., 2003. Sinus thrombosis probably resulting from a dural arteriovenous fistula development in the superior sagittal sinus. Acta Neurochir., 145(8):719-720.
[11]Simon, S., Yao, T., Ulm, A.J., et al., 2009. Dural arteriovenous fistulas masquerading as dural sinus thrombosis. J. Neurosurg., 110(3):514-517.
[12]Tsai, L.K., Jeng, J.S., Liu, H.M., et al., 2004. Intracranial dural arteriovenous fistulas with or without cerebral sinus thrombosis: analysis of 69 patients. J. Neurol. Neurosurg. Psychiatry, 75(11):1639-1641.
[13]Tsui, Y.K., Tsai, F.Y., Hasso, A.N., et al., 2009. Susceptibility-weighted imaging for differential diagnosis of cerebral vascular pathology: a pictorial review. J. Neurol. Sci., 287(1-2):7-16.
[14]Yang, S., Li, R., Chen, X.N., et al., 2015. Acute cerebral thrombosis following ovarian hyperstimulation syndrome: a case report. Chin. Med. J., 128(24):3383-3384.
[15]Yeh, P.S., Wu, T.C., Tzeng, W.S., et al., 2010. Endovascular angioplasty and stent placement in venous hypertension related to dural arteriovenous fistulas and venous sinus thrombosis. Clin. Neurol. Neurosurg., 112(2):167-171.
Open peer comments: Debate/Discuss/Question/Opinion
<1>