Neurol Case Rep | Volume 6, Issue 2 | Case Report | Open Access
iwowarski K*, Biliński P, Sobstyl M
Department of Neurosurgery, Institute of Psychiatry and Neurology, Poland
*Correspondance to: Karol Piwowarski
Fulltext PDFTentorial dural arteriovenous fistulas – tentorial DAVFs are rare conditions presented with unspecific clinical symptoms. The clinical symptoms are unspecific but the correct diagnosis may pose a diagnostic challenge. We present a case of 49-year-old patient with pulsating sensation in his head and unpleasant constant noise locating behind his left ear. The initial diagnostic difficulties encountered in 2018 and 2019 were due to supposed radiologic images of old post-thrombotic changes in Computed Tomography (CT) scan and Magnetic Resonance Imaging (MRI) examination. The diagnosis was finally made by Doppler Duplex ultrasonographic probe that showed disturbed blood flow in the left external carotid artery. The patient DAVF’s was successfully embolized through meningeal branch of the left ascending pharyngeal artery that was a blood supplier. Intraoperative angiography revealed total closure of the fistula and a regular blood flow. Postoperative angio- MRI performed one year later showed total occlusion of the vascular malformation. The patient’s disabling symptoms completely disappeared.
Piwowarski K, Biliński P, Sobstyl M. Diagnostic Difficulties in a Patient with a Cerebral Venous Thrombosis and Tentorial Arteriovenous Fistula. Neurol Case Rep. 2023; 6(2): 1043..