Cerebral abscess as an unusual complication of coil embolization in a dural arteriovenous fistula. Case report.
This 63-year-old man presented with a right temporoparietal cortical infarction. A dural arteriovenous fistula involving the right transverse sinus was diagnosed on cerebral angiography. Transvenous embolization using detachable coils was performed; however, postembolization angiograms demonstrated retrograde filling of a cortical draining vein that was not seen on initial angiography. The patient subsequently developed a cerebral abscess in the region of the previous cortical infarction 2 months after the embolization. The abscess was successfully treated with drainage and antibiotic therapy. The authors report this case to illustrate an unusual complication associated with this procedure and the possible contribution of the cortical draining vein in the pathogenesis of the cerebral abscess.
Zurin
A A
AA
Department of Neurosurgery, Hokkaido University School of Medicine, Sapporo, Japan.
Ushikoshi
S
S
Houkin
K
K
Kikuchi
Y
Y
Abe
H
H
Saitoh
H
H
D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000628:therapy*; D001922:Brain Abscess / Q000175:diagnosis / Q000209:etiology*; D002493:Central Nervous System Diseases / Q000175:diagnosis / Q000628:therapy*; D002533:Cerebral Angiography; D004388:Dura Mater / Q000098:blood supply*; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged