{"title":"以出血为表现的小脑硬脑膜动静脉瘘:诊断成像和血管内处理。","authors":"Christophe Sonck, Jef Huyskens","doi":"10.5334/jbsr.4035","DOIUrl":null,"url":null,"abstract":"<p><p>We report the case of a 45-year-old man with a rare cerebellar dural arteriovenous fistula (dAVF) presenting with dizziness and gait imbalance. MRI revealed a hemorrhagic lesion compressing the fourth ventricle. Digital subtraction angiography confirmed a Borden Type III dAVF, which was successfully treated by balloon-assisted embolization using PHIL 25%. This case draws attention to the importance of early diagnosis and intervention in posterior fossa dAVFs. <i>Teaching point:</i> Cerebellar dAVFs, though rare, harbor a high risk of hemorrhage and require prompt imaging and endovascular treatment.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"43"},"PeriodicalIF":1.3000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12493027/pdf/","citationCount":"0","resultStr":"{\"title\":\"Cerebellar Dural Arteriovenous Fistula Presenting with Hemorrhage: Diagnostic Imaging and Endovascular Management.\",\"authors\":\"Christophe Sonck, Jef Huyskens\",\"doi\":\"10.5334/jbsr.4035\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>We report the case of a 45-year-old man with a rare cerebellar dural arteriovenous fistula (dAVF) presenting with dizziness and gait imbalance. MRI revealed a hemorrhagic lesion compressing the fourth ventricle. Digital subtraction angiography confirmed a Borden Type III dAVF, which was successfully treated by balloon-assisted embolization using PHIL 25%. This case draws attention to the importance of early diagnosis and intervention in posterior fossa dAVFs. <i>Teaching point:</i> Cerebellar dAVFs, though rare, harbor a high risk of hemorrhage and require prompt imaging and endovascular treatment.</p>\",\"PeriodicalId\":55987,\"journal\":{\"name\":\"Journal of the Belgian Society of Radiology\",\"volume\":\"109 1\",\"pages\":\"43\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12493027/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the Belgian Society of Radiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.5334/jbsr.4035\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Belgian Society of Radiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5334/jbsr.4035","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
Cerebellar Dural Arteriovenous Fistula Presenting with Hemorrhage: Diagnostic Imaging and Endovascular Management.
We report the case of a 45-year-old man with a rare cerebellar dural arteriovenous fistula (dAVF) presenting with dizziness and gait imbalance. MRI revealed a hemorrhagic lesion compressing the fourth ventricle. Digital subtraction angiography confirmed a Borden Type III dAVF, which was successfully treated by balloon-assisted embolization using PHIL 25%. This case draws attention to the importance of early diagnosis and intervention in posterior fossa dAVFs. Teaching point: Cerebellar dAVFs, though rare, harbor a high risk of hemorrhage and require prompt imaging and endovascular treatment.
期刊介绍:
The purpose of the Journal of the Belgian Society of Radiology is the publication of articles dealing with diagnostic and interventional radiology, related imaging techniques, allied sciences, and continuing education.