Epistaxis caused by a dural AV‐fistula at the cribriform plate
Copyright policy )Epistaxis caused by a dural AV‐fistula at the cribriform plate
Objectives/HypothesisA dural arteriovenous fistula (DAVF) with cortical venous reflux (CVR) is a dangerous neurovascular entity. A DAVF at the cribriform plate is typically silent until its inevitable presentation with intracranial hemorrhage.Case SummaryA 67‐year‐old male presented with severe epistaxis. Following unsuccessful conventional measures and a surgical exploration, a catheter angiography showed a DAVF at the cribriform plate, with its nidus extending into the nasal cavity. The DAVF was treated via a small craniotomy.ConclusionIn case of atypical or unexplained nosebleeds, the possibility of a DAVF or other neurovascular pathology should be excluded by MRI/MRA or catheter angiography. Laryngoscope, 124:2476–2477, 2014
- University of Groningen Netherlands
- University Medical Center Groningen Netherlands
Central Nervous System Vascular Malformations, Male, epistaxis, anterior fossa, Risk Assessment, Severity of Illness Index, Radiography, Ethmoid Bone, Dural AV-fistula, Epistaxis, Treatment Outcome, Humans, cortical venous reflux, Emergency Service, Hospital, Vascular Surgical Procedures, Craniotomy, Magnetic Resonance Angiography, Aged, Follow-Up Studies
Central Nervous System Vascular Malformations, Male, epistaxis, anterior fossa, Risk Assessment, Severity of Illness Index, Radiography, Ethmoid Bone, Dural AV-fistula, Epistaxis, Treatment Outcome, Humans, cortical venous reflux, Emergency Service, Hospital, Vascular Surgical Procedures, Craniotomy, Magnetic Resonance Angiography, Aged, Follow-Up Studies
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