Arteriovenous fistula around the ventriculoperitoneal shunt system in a patient with a dural arteriovenous malformation of the posterior fossa. Case report.
A dural arteriovenous malformation (AVM) of the posterior fossa can produce persistent tinnitus, convulsions, and dementia. Successful therapeutic embolization may result in a complete cure, but in some cases, patients do not respond to the treatment. The authors report a patient with a dural AVM of the posterior fossa that did not respond to repeated intravascular treatments, but resulted in an arteriovenous shunt in the scalp around the ventriculoperitoneal shunt system. Although several hypotheses have been proposed on the pathogenesis of dural AVMs, the underlying mechanisms remain unknown. The rare complication we encountered may shed some light on the pathogenesis of dural AVMs.
Yoshimura
S
S
Department of Neurosurgery, National Cardiovascular Center, Osaka, Japan.
Hashimoto
N
N
Kazekawa
K
K
Obata
A
A
Yutani
C
C
Ogata
J
J
D001164:Arteriovenous Fistula / Q000209:etiology*; D003388:Cranial Fossa, Posterior; D003392:Cranial Sinuses / Q000473:pathology; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*