Acta Neurochirurgica

, Volume 159, Issue 5, pp 831–834

Dural arteriovenous fistula manifesting as pontine hemorrhage at the craniocervical junction

  • Xuan Liu
  • Atsushi Ogata
  • Jun Masuoka
  • Kohei Inoue
  • Yukiko Nakahara
  • Shoko Shimokawa
  • Yukinori Takase
  • Yusuke Yakushiji
  • Hideo Hara
  • Tatsuya Abe
Case Report - Vascular

DOI: 10.1007/s00701-017-3135-y

Cite this article as:
Liu, X., Ogata, A., Masuoka, J. et al. Acta Neurochir (2017) 159: 831. doi:10.1007/s00701-017-3135-y
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Abstract

Craniocervical junction (CCJ) dural arteriovenous fistula (DAVF) manifesting as intracerebral hemorrhage is extremely rare. We report the first case of CCJ-DAVF manifesting as pontine hemorrhage. A 69-year-old male presented with a pontine hemorrhage manifesting as a sudden onset of right hemiparesis and dysarthria. Digital subtraction angiography revealed a CCJ-DAVF fed by the meningeal branches of the right vertebral artery. The patient underwent surgical ligation of the cerebral draining veins to prevent re-bleeding. The postoperative course was uneventful. The patient had no neurological deficit after 1 month rehabilitation.

Keywords

Dural arteriovenous fistula Craniocervical junction Intracerebral hemorrhage Pontine hemorrhage 

Copyright information

© Springer-Verlag Wien 2017

Authors and Affiliations

  1. 1.Department of Neurosurgery, Faculty of MedicineSaga UniversitySaga-shiJapan
  2. 2.Division of Neurology, Department of Internal Medicine, Faculty of MedicineSaga UniversitySagaJapan

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