Acute subarachnoid hemorrhage in posterior condylar canal dural arteriovenous fistula: imaging features with endovascular management
A 43-year-old man presented with acute subarachnoid hemorrhage. He was investigated and found to have a rare posterior condylar canal dural arteriovenous fistula (DAVF). DAVFs of the posterior condylar canal are rare. Venous drainage of the DAVF was through a long, tortuous, and aneurysmal bridging...
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| Veröffentlicht in: | BMJ case reports 2014-07, Vol.2014, p.bcr2014011273 |
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| creator | Mondel, Prabath Kumar Saraf, Rashmi Limaye, Uday S |
| description | A 43-year-old man presented with acute subarachnoid hemorrhage. He was investigated and found to have a rare posterior condylar canal dural arteriovenous fistula (DAVF). DAVFs of the posterior condylar canal are rare. Venous drainage of the DAVF was through a long, tortuous, and aneurysmal bridging vein. We describe the clinical presentation, cross sectional imaging, angiographic features, and endovascular management of this patient. The patient was treated by transarterial embolization of the fistula through the ascending pharyngeal artery. This is the first report of an acutely bled posterior condylar canal DAVF treated by transarterial Onyx embolization with balloon protection in the vertebral artery. The patient recovered without any neurological deficit and had an excellent outcome. On 6 month follow-up angiogram, there was stable occlusion of the dural fistula. |
| doi_str_mv | 10.1136/bcr-2014-011273 |
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He was investigated and found to have a rare posterior condylar canal dural arteriovenous fistula (DAVF). DAVFs of the posterior condylar canal are rare. Venous drainage of the DAVF was through a long, tortuous, and aneurysmal bridging vein. We describe the clinical presentation, cross sectional imaging, angiographic features, and endovascular management of this patient. The patient was treated by transarterial embolization of the fistula through the ascending pharyngeal artery. This is the first report of an acutely bled posterior condylar canal DAVF treated by transarterial Onyx embolization with balloon protection in the vertebral artery. The patient recovered without any neurological deficit and had an excellent outcome. On 6 month follow-up angiogram, there was stable occlusion of the dural fistula.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2014-011273</identifier><identifier>PMID: 24990846</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Aneurysms ; Central Nervous System Vascular Malformations - complications ; Central Nervous System Vascular Malformations - diagnosis ; Central Nervous System Vascular Malformations - diagnostic imaging ; Central Nervous System Vascular Malformations - therapy ; Cerebral Angiography ; Embolization, Therapeutic ; Endovascular Procedures ; Hemorrhage ; Hemorrhagic Stroke ; Humans ; Male ; Sinuses ; Subarachnoid Hemorrhage - diagnosis ; Subarachnoid Hemorrhage - diagnostic imaging ; Subarachnoid Hemorrhage - etiology ; Veins & arteries</subject><ispartof>BMJ case reports, 2014-07, Vol.2014, p.bcr2014011273</ispartof><rights>2014 BMJ Publishing Group Ltd</rights><rights>2014 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2014 2014 BMJ Publishing Group Ltd</rights><rights>2014 BMJ Publishing Group Ltd 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b4413-fc834be9de0f97466b3ee453e8d3edf82112d2d3e8b81ab25875b75c3099717b3</citedby><cites>FETCH-LOGICAL-b4413-fc834be9de0f97466b3ee453e8d3edf82112d2d3e8b81ab25875b75c3099717b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4091406/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4091406/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24990846$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mondel, Prabath Kumar</creatorcontrib><creatorcontrib>Saraf, Rashmi</creatorcontrib><creatorcontrib>Limaye, Uday S</creatorcontrib><title>Acute subarachnoid hemorrhage in posterior condylar canal dural arteriovenous fistula: imaging features with endovascular management</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>A 43-year-old man presented with acute subarachnoid hemorrhage. He was investigated and found to have a rare posterior condylar canal dural arteriovenous fistula (DAVF). DAVFs of the posterior condylar canal are rare. Venous drainage of the DAVF was through a long, tortuous, and aneurysmal bridging vein. We describe the clinical presentation, cross sectional imaging, angiographic features, and endovascular management of this patient. The patient was treated by transarterial embolization of the fistula through the ascending pharyngeal artery. This is the first report of an acutely bled posterior condylar canal DAVF treated by transarterial Onyx embolization with balloon protection in the vertebral artery. The patient recovered without any neurological deficit and had an excellent outcome. On 6 month follow-up angiogram, there was stable occlusion of the dural fistula.</description><subject>Adult</subject><subject>Aneurysms</subject><subject>Central Nervous System Vascular Malformations - complications</subject><subject>Central Nervous System Vascular Malformations - diagnosis</subject><subject>Central Nervous System Vascular Malformations - diagnostic imaging</subject><subject>Central Nervous System Vascular Malformations - therapy</subject><subject>Cerebral Angiography</subject><subject>Embolization, Therapeutic</subject><subject>Endovascular Procedures</subject><subject>Hemorrhage</subject><subject>Hemorrhagic Stroke</subject><subject>Humans</subject><subject>Male</subject><subject>Sinuses</subject><subject>Subarachnoid Hemorrhage - diagnosis</subject><subject>Subarachnoid Hemorrhage - diagnostic imaging</subject><subject>Subarachnoid Hemorrhage - etiology</subject><subject>Veins & arteries</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkctrFTEUxgex2FK7dicBNyKMzWsmGRdCKb6g0E0FdyHJnJnJZSa5JpNbuvcPN7e3lurGLJID55fvPL6qekXwe0JYe25srCkmvMaEUMGeVSdENKIWHf7x_El8XJ2ltMHlMMIlZy-qY8q7DkvenlS_LmxeAaVsdNR28sH1aIIlxDjpEZDzaBvSCtGFiGzw_d2sS6C9nlGfY7l1vM_uwIec0ODSmmf9AblFj86PaAC95ggJ3bp1QuD7sNPJ5r3KUlRGWMCvL6ujQc8Jzh7e0-r75083l1_rq-sv3y4vrmrDOWH1YCXjBroe8NAJ3raGAfCGgewZ9IOkZQ09LbE0kmhDGykaIxrLcNcJIgw7rT4edLfZLNDbUrqMoLaxdBvvVNBO_Z3xblJj2CmOO8JxWwTePgjE8DNDWtXikoV51h7K-Io0nFHR0XaPvvkH3YQcy94KJSSjktCmKdT5gbIxpBRheGyGYLU3WRWT1d5kdTC5_Hj9dIZH_o-lBXh3AMyy-a_ab7b4s5U</recordid><startdate>20140702</startdate><enddate>20140702</enddate><creator>Mondel, Prabath Kumar</creator><creator>Saraf, Rashmi</creator><creator>Limaye, Uday S</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140702</creationdate><title>Acute subarachnoid hemorrhage in posterior condylar canal dural arteriovenous fistula: imaging features with endovascular management</title><author>Mondel, Prabath Kumar ; 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He was investigated and found to have a rare posterior condylar canal dural arteriovenous fistula (DAVF). DAVFs of the posterior condylar canal are rare. Venous drainage of the DAVF was through a long, tortuous, and aneurysmal bridging vein. We describe the clinical presentation, cross sectional imaging, angiographic features, and endovascular management of this patient. The patient was treated by transarterial embolization of the fistula through the ascending pharyngeal artery. This is the first report of an acutely bled posterior condylar canal DAVF treated by transarterial Onyx embolization with balloon protection in the vertebral artery. The patient recovered without any neurological deficit and had an excellent outcome. On 6 month follow-up angiogram, there was stable occlusion of the dural fistula.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>24990846</pmid><doi>10.1136/bcr-2014-011273</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aneurysms Central Nervous System Vascular Malformations - complications Central Nervous System Vascular Malformations - diagnosis Central Nervous System Vascular Malformations - diagnostic imaging Central Nervous System Vascular Malformations - therapy Cerebral Angiography Embolization, Therapeutic Endovascular Procedures Hemorrhage Hemorrhagic Stroke Humans Male Sinuses Subarachnoid Hemorrhage - diagnosis Subarachnoid Hemorrhage - diagnostic imaging Subarachnoid Hemorrhage - etiology Veins & arteries |
| title | Acute subarachnoid hemorrhage in posterior condylar canal dural arteriovenous fistula: imaging features with endovascular management |
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