Spontaneous Healing of Intracranial Dural Fistula
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Transcript of Spontaneous Healing of Intracranial Dural Fistula
Spontaneous Healing of Intracranial Dural Fistula
Z. Jamaleddine, R Labbioui, F. A El Quessar Department of radiology
Cheikh Zaid hospitalRABAT- MOROCCO
OBSERVATION
Patient 53 years Installation of a rapidly progressive cerbellar
syndrome with vertigo,
Gait and speech disorder.
MAY18th 2010:Initial arteriography was performed,
AVF.
External carotid unexplored.
June 5th 2010:A second angiogrphy
An significant slowdown of the fistula
No abnormality of the external carotid angiograms.
December 9th 2010:The last inspection was performed after 6
months, normal.
Discussion
Spontaneous recovery is rare,
Few cases reported in the literature.
Several assumptions: Thrombosis of the sinus drainage.
Cerebral hemorrhage with mass effect of hematoma.
Vasospasm .
Post angiography.
The majority of spontaneous recovery of interest to the type I (table), the sudden disappearance of the symptoms and spontaneous is the most common clinical presentation.
Alain Luciani, Emmanuel Houdart, Charbel Mounayer,Jean-Pierre Saint Maurice and Jean-Jacques Merland, Spontaneous Closure of Dural Arteriovenous Fistulas: Report of Three Cases and Review of the Literature, American Journal of Neuroradiology 22:992-996 (5 2001).
Conclusion
Spontaneous closure of the dural fistula is a
rare event and are interested mainly type I
fistulas, the sudden disappearance of
symptoms is the usual clinical presentation.
References: Will Adams; Peter Whitfield, ACNR • VOLUME 7 NUMBER 3
• JULY/AUGUST 2007. Alain Luciani, Emmanuel Houdart, Charbel Mounayer,Jean-
Pierre Saint Maurice and Jean-Jacques Merland,
Spontaneous Closure of Dural Arteriovenous Fistulas: Report of Three Cases and Review of the Literature, American Journal of Neuroradiology 22:992-996 (5 2001).
E. Houdart, J.-P. Saint-Maurice , R. Chapot J.-J. Merland, Fistules artérioveineuses durales intracrâniennes, Encyclopédie Médico-Chirurgicale 17-490 , (2003).
P. TABRIZI, R.F. SPETZLER, C.MCDOUGALL, F.C.ALBUQUERQUE, Cerebral Dural arteriovenous Fistula, Interventional Neuroradiology 9 (Suppl 2): 101-102, 2003.