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Subdural hematoma from an acquired dural arteriovenous fistula following external ventricular drain placement for subarachnoid hemorrhage.

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Title: Subdural hematoma from an acquired dural arteriovenous fistula following external ventricular drain placement for subarachnoid hemorrhage.
Authors: Kerezoudis, Panagiotis (AUTHOR), Sorenson, Thomas J. (AUTHOR), Kapurch, Joseph R. (AUTHOR), Link, Michael J. (AUTHOR), Wijdicks, Eelco F. (AUTHOR), Cloft, Harry (AUTHOR), Van Gompel, Jamie J. (AUTHOR)
Source: International Journal of Neuroscience. Nov2020, Vol. 130 Issue 11, p1166-1169. 4p.
Subjects: Arteriovenous fistula, Subdural hematoma, Subarachnoid hemorrhage, Cranial sinuses, Cerebral arteries, Surgical arteriovenous shunts
Abstract: Objective: Intracranial dural arteriovenous fistulas represent pathological connections between dural arteries and dural veins, dural sinuses or meningeal veins in the absence of an intervening capillary bed. They are thought to be acquired secondary to trauma, surgery, sinus thrombosis, venous hypertension or arterial dysplasia. Methods: A 66-year-old Asian female presented with subarachnoid hemorrhage secondary to ruptured 2-mm saccular aneurysm of the left middle cerebral artery associated with fusiform dilatation. It was successfully treated with endovascular coiling. A right frontal external ventricular drain was also placed to treat her hydrocephalus. On post-bleed day 10, she became acutely unresponsive with a fixed and dilated right pupil. Head CT was obtained and revealed an acute right subdural hematoma which was emergently evacuated. Results: No obvious bleeders were identified during surgery. Patient improved and repeat catheter angiography a week later showed a new dural arteriovenous fistula fed by the anterior falcine artery and the middle meningeal artery to a cortical vein draining into the superior sagittal sinus. Conclusion: We hope that the present report will raise awareness to treating physicians to be cognizant of this unusual complication in their differential diagnosis when treating patients with an EVD in place. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Neuroscience is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Subdural hematoma from an acquired dural arteriovenous fistula following external ventricular drain placement for subarachnoid hemorrhage.
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  Data: <searchLink fieldCode="AR" term="%22Kerezoudis%2C+Panagiotis%22">Kerezoudis, Panagiotis</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sorenson%2C+Thomas+J%2E%22">Sorenson, Thomas J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kapurch%2C+Joseph+R%2E%22">Kapurch, Joseph R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Link%2C+Michael+J%2E%22">Link, Michael J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wijdicks%2C+Eelco+F%2E%22">Wijdicks, Eelco F.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cloft%2C+Harry%22">Cloft, Harry</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Van+Gompel%2C+Jamie+J%2E%22">Van Gompel, Jamie J.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Neuroscience%22">International Journal of Neuroscience</searchLink>. Nov2020, Vol. 130 Issue 11, p1166-1169. 4p.
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  Data: <searchLink fieldCode="DE" term="%22Arteriovenous+fistula%22">Arteriovenous fistula</searchLink><br /><searchLink fieldCode="DE" term="%22Subdural+hematoma%22">Subdural hematoma</searchLink><br /><searchLink fieldCode="DE" term="%22Subarachnoid+hemorrhage%22">Subarachnoid hemorrhage</searchLink><br /><searchLink fieldCode="DE" term="%22Cranial+sinuses%22">Cranial sinuses</searchLink><br /><searchLink fieldCode="DE" term="%22Cerebral+arteries%22">Cerebral arteries</searchLink><br /><searchLink fieldCode="DE" term="%22Surgical+arteriovenous+shunts%22">Surgical arteriovenous shunts</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Intracranial dural arteriovenous fistulas represent pathological connections between dural arteries and dural veins, dural sinuses or meningeal veins in the absence of an intervening capillary bed. They are thought to be acquired secondary to trauma, surgery, sinus thrombosis, venous hypertension or arterial dysplasia. Methods: A 66-year-old Asian female presented with subarachnoid hemorrhage secondary to ruptured 2-mm saccular aneurysm of the left middle cerebral artery associated with fusiform dilatation. It was successfully treated with endovascular coiling. A right frontal external ventricular drain was also placed to treat her hydrocephalus. On post-bleed day 10, she became acutely unresponsive with a fixed and dilated right pupil. Head CT was obtained and revealed an acute right subdural hematoma which was emergently evacuated. Results: No obvious bleeders were identified during surgery. Patient improved and repeat catheter angiography a week later showed a new dural arteriovenous fistula fed by the anterior falcine artery and the middle meningeal artery to a cortical vein draining into the superior sagittal sinus. Conclusion: We hope that the present report will raise awareness to treating physicians to be cognizant of this unusual complication in their differential diagnosis when treating patients with an EVD in place. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of International Journal of Neuroscience is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/00207454.2020.1722663
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        Text: English
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      – SubjectFull: Subdural hematoma
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      – SubjectFull: Subarachnoid hemorrhage
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      – SubjectFull: Cranial sinuses
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      – SubjectFull: Cerebral arteries
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      – SubjectFull: Surgical arteriovenous shunts
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      – TitleFull: Subdural hematoma from an acquired dural arteriovenous fistula following external ventricular drain placement for subarachnoid hemorrhage.
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              Text: Nov2020
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              Y: 2020
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