Presentation
Adult patient presenting with sudden onset headache and decreased conscious state.
Patient Data
Age: adult
From the case:
Dural arteriovenous fistula - anterior cranial fossa
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/6578/annotated_viewer_json?_c=1669161665\u0026lang=us"}
Large spontaneous SDH, seen crossing the fronto-parietal suture and extending along the falx. Significant mass effect is present with midline shift.
Subsequent CTA demonstrates abnormal vascular structures extra-axially along the floor of the anterior cranial fossa.
From the case:
Dural arteriovenous fistula - anterior cranial fossa
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/6579/annotated_viewer_json?_c=1669161665\u0026lang=us"}
Angiography revealed an anterior cranial fossa DAVF with supply from both ophthalmic arteries via ethmoidal branches. No ECA supply.
Case Discussion
A large cortical vein was identified at craniotomy for evacuation of the hemorrhage.
Unable to process the form. Check for errors and try again.