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Dural Arteriovenous Fistula in Moyamoya Angiopathy

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Abstract

Moyamoya angiopathy (MMA) is an idiopathic, progressive intracranial occlusive vasculopathy leading to formation of abnormal vascular network of collaterals. Dural arteriovenous fistula (DAVF) has been rarely reported to co-exist with MMA. A paucity of literature has limited the elucidation of the pathophysiological association between the two conditions. It may be hypothesized that a chronic cerebral ischemic state in MMA and subsequent angiogenesis leading to the formation of collaterals might lead to the formation of DAVF. At present, there are no definite guidelines for treatment of DAVF in MMA. However, it may be reasonable to practice conservative management with close follow-up in case of asymptomatic DAVF or those without cerebral venous drainage, while high grade DAVF may be subjected to endovascular or open surgery to prevent future intracranial hemorrhage.

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References

  1. Das DS, Dubey DS, Acharya DM, Ghosh DR, Chatterjee DS, Hazra PA, et al. The disease presentation of Moyamoya angiopathy in Eastern India. J Stroke Cerebrovasc Dis. 2020;29(8):104957.

    Article  PubMed  Google Scholar 

  2. Das S, Dubey S, Acharya M, Chatterjee S, Lahiri D, Das G, et al. Thalassemia and Moyamoya syndrome: unfurling an intriguing association. J Neurol. 2019;266(11):2838–47 [cited 2020 Aug 30]. Available from: https://pubmed.ncbi.nlm.nih.gov/31422456/.

    Article  PubMed  Google Scholar 

  3. Das S, Ray BK, Dubey S. Temporal lobe epilepsy with nocturnal wandering leading to discovery of Moyamoya angiopathy. Acta Neurol Belgica. 2021:1–3 [cited 2021 Dec 2]. Available from: https://link.springer.com/article/10.1007/s13760-021-01830-y.

  4. Das S, Ghosh R, Dubey S, Pandit A, Ray BK, Kraemer M. Limb-shaking TIA in Moyamoya angiopathy. Clin Neurol Neurosurg. 2021;207:106783 [cited 2021 Jul 5]. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0303846721003127.

    Article  Google Scholar 

  5. Dubey S, Ghosh R, Chatterjee S, Dubey MJ, Ray BK, Das S, et al. Spicy foods triggering clinical symptoms in Moyamoya angiopathy. J Neurosurg Sci. 2021;65(1):85–88 [cited 2021 Mar 18]. Available from: https://pubmed.ncbi.nlm.nih.gov/32550609/.

    Article  PubMed  Google Scholar 

  6. Hou K, Zhao Y, Chen X, Xu K, Yu J. Moyamoya disease concurrent with dural arteriovenous fistula: a case report and literature review. Exp Ther Med. 2020;20(6):161 [cited 2022 Jan 17]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7571339/.

    Article  Google Scholar 

  7. Killory BD, Gonzalez LF, Wait SD, Ponce FA, Albuquerque FC, Spetzler RF. Simultaneous unilateral moyamoya disease and ipsilateral dural arteriovenous fistula: case report. Neurosurgery. 2008;62(6):E1375–6 [cited 2022 Jan 17]. Available from: https://pubmed.ncbi.nlm.nih.gov/18824958/.

    PubMed  Google Scholar 

  8. Koduri S, Andrew Wilkinson D, Griauzde JM, Gemmete JJ, Maher CO. Development of bilateral dural arteriovenous fistulae following pial synangiosis for moyamoya syndrome: case report. J Neurosurg Pediatr. 2019;24(1):9–13.

    Article  PubMed  Google Scholar 

  9. Liu AF, Li C, Yu W, Lin LM, Qiu HC, Zhang YQ, Lv XL, Wang K, Liu C, Jiang WJ. Dissection-related carotid-cavernous fistula (CCF) following surgical revascularization of chronic internal carotid artery occlusion: a new subtype of CCF and proposed management. Chin Neurosurg J. 2020;6:2.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Liu P, Xu Y, Lv X, Ge H, Lv M, Li Y. Progression of unilateral moyamoya disease resulted in spontaneous occlusion of ipsilateral cavernous dural arteriovenous fistula: case report. Interv Neuroradiol. 2016;22(3):362–4.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Feroze AH, Kushkuley J, Choudhri O, Heit JJ, Steinberg GK, Do HM. Development of arteriovenous fistula after revascularization bypass for moyamoya disease: case report. Oper Neurosurg. 2015;11(1):E202–6.

    Article  Google Scholar 

  12. Zaletel M, Surlan-Popović K, Pretnar-Oblak J, Žvan B. Moyamoya syndrome with arteriovenous dural fistula after head trauma. Acta Clin Croatica. 2011;50:115–20 [cited 2022 Jan 17]. Available from: https://pubmed.ncbi.nlm.nih.gov/22034792/.

    Google Scholar 

  13. Das S, Ray BK, Ghosh R, Sengupta S, Pandit A, Dubey S. Impact of COVID-19 pandemic in natural course of Moyamoya angiopathy: an experience from tertiary-care-center in India. Egypt J Neurol Psychiatry Neurosurg. 2021;57(1):1–6. Available from: https://ejnpn.springeropen.com/articles/10.1186/s41983-021-00412-2.

    Article  Google Scholar 

  14. Das S, Dubey S, Pandit A, Ray BK. Moyamoya angiopathy unmasking systemic lupus erythematosus. BMJ Case Rep. 2021;14(1):e239307 [cited 2021 Jul 5]. Available from: https://casereports.bmj.com/content/14/1/e239307.

    Article  Google Scholar 

  15. Mikami T, Suzuki H, Komatsu K, Mikuni N. Influence of inflammatory disease on the pathophysiology of moyamoya disease and quasi-moyamoya disease. Neurol Med Chir (Tokyo). 2019;59(10):361 [cited 2021 Jul 30]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796064/.

    Article  Google Scholar 

  16. Kim JS. Moyamoya disease: epidemiology, clinical features, and diagnosis. J Stroke. 2016;18(1):2–11 [cited 2021 Dec 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/26846755/.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Mawad ME, Hilal SK, Michelsen WJ, Stein B, Ganti SR. Occlusive vascular disease associated with cerebral arteriovenous malformations. Radiology. 1984;153(2):401–8 [cited 2022 Jan 17]. https://doi.org/10.1148/radiology15326484172. Available from: https://pubs.rsna.org/doi/abs/10.1148/radiology.153.2.6484172.

    Article  CAS  PubMed  Google Scholar 

  18. Mikami T, Suzuki H, Komatsu K, Mikuni N. Influence of inflammatory disease on the pathophysiology of moyamoya disease and quasi-moyamoya disease. Neurol Med Chir (Tokyo). 2019;59(10):1–10 [cited 2020 Aug 30]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796064/.

    Article  Google Scholar 

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Dr. Shambaditya Das, (Prof.) Dr. Souvik Dubey, and (Prof.) Dr. Biman Kanti Ray have no disclosures to make.

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Dr. Shambaditya Das take full responsibility for the data, the analyses and interpretation, and the conduct of the research. I have full access to all the data and have the right to publish any and all data, separate and apart from the guidance of any sponsor.

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The authors have stated explicitly that there are no conflicts of interest in connection with this article.

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Das, S., Dubey, S., Ray, B.K. (2022). Dural Arteriovenous Fistula in Moyamoya Angiopathy. In: Lv, X. (eds) Intracranial and Spinal Dural Arteriovenous Fistulas. Springer, Singapore. https://doi.org/10.1007/978-981-19-5767-3_14

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  • DOI: https://doi.org/10.1007/978-981-19-5767-3_14

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-5766-6

  • Online ISBN: 978-981-19-5767-3

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