Dural arteriovenous fistula mimicking a stroke: A misdiagnosis of two months

Q4 Medicine

Radiology Case Reports Pub Date : 2024-09-19 DOI:10.1016/j.radcr.2024.09.043

引用次数: 0

Abstract

We present a case of a 70-year-old male who presented with left-sided weakness and dysarthria. Cranial imaging was suggestive of a cerebellar infarct and the patient was treated with aspirin and clopidogrel. Two months later a fall prompted further cranial imaging, which was concerning for an intracranial mass with vasogenic edema. Computed tomography angiogram (CTA) was negative for vascular lesion. Ultimately, a DSA revealed a Borden III dAVF between the right occipital artery and the posterior cerebellar vein that was treated with endovascular embolization.

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模仿中风的硬膜动静脉瘘：两个月的误诊

我们报告了一例 70 岁男性患者的病例，他出现左侧肢体无力和构音障碍。头颅影像学检查提示小脑梗塞，患者接受了阿司匹林和氯吡格雷治疗。两个月后，患者因摔倒而进一步接受头颅造影检查，结果显示颅内肿块伴血管源性水肿。计算机断层扫描血管造影（CTA）显示血管病变为阴性。最后，DSA检查发现右枕动脉和小脑后静脉之间有一个博登III型dAVF，并进行了血管内栓塞治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.