Spontaneous Healing of Intracranial Dural Fistula

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Presentation transcript:

Spontaneous Healing of Intracranial Dural Fistula Z. Jamaleddine, R Labbioui, F. A El Quessar Department of radiology Cheikh Zaid hospital RABAT- MOROCCO

OBSERVATION Patient 53 years Installation of a rapidly progressive cerbellar syndrome with vertigo, Gait and speech disorder.

MAY18th 2010: Initial arteriography was performed, AVF. External carotid unexplored.

June 5th 2010: A second angiogrphy An significant slowdown of the fistula No abnormality of the external carotid angiograms.

December 9th 2010: The last inspection was performed after 6 months, normal.

Discussion Spontaneous recovery is rare, Few cases reported in the literature. Several assumptions: Thrombosis of the sinus drainage. Cerebral hemorrhage with mass effect of hematoma. Vasospasm . Post angiography.

The majority of spontaneous recovery of interest to the type I (table), the sudden disappearance of the symptoms and spontaneous is the most common clinical presentation. Alain Luciani, Emmanuel Houdart, Charbel Mounayer,Jean-Pierre Saint Maurice and Jean-Jacques Merland, Spontaneous Closure of Dural Arteriovenous Fistulas: Report of Three Cases and Review of the Literature, American Journal of Neuroradiology 22:992-996 (5 2001).

Conclusion Spontaneous closure of the dural fistula is a rare event and are interested mainly type I fistulas, the sudden disappearance of symptoms is the usual clinical presentation.

References: Will Adams; Peter Whitfield, ACNR • VOLUME 7 NUMBER 3 • JULY/AUGUST 2007. Alain Luciani, Emmanuel Houdart, Charbel Mounayer,Jean-Pierre Saint Maurice and Jean-Jacques Merland, Spontaneous Closure of Dural Arteriovenous Fistulas: Report of Three Cases and Review of the Literature, American Journal of Neuroradiology 22:992-996 (5 2001). E. Houdart, J.-P. Saint-Maurice , R. Chapot J.-J. Merland, Fistules artérioveineuses durales intracrâniennes, Encyclopédie Médico-Chirurgicale 17-490 , (2003). P. TABRIZI, R.F. SPETZLER, C.MCDOUGALL, F.C.ALBUQUERQUE, Cerebral Dural arteriovenous Fistula, Interventional Neuroradiology 9 (Suppl 2): 101-102, 2003.