Involution of a Borden type 1 cranial dural arteriovenous fistula secondary to local arterial pressure during an anterior cervical discectomy and fusion: case report.
OBJECTIVE
A cranial dural arteriovenous fistula may undergo configurational changes in response to local arterial pressure.


METHODS
A 53-year-old man had two distinct neurosurgical pathological features at presentation: an occipital dural arteriovenous fistula and cervical radiculopathy secondary to spondylosis.


METHODS
An anterior cervical discectomy and fusion were performed with the patient's head secured to a horseshoe headrest. After surgery, the patient's bruit resolved, and angiography demonstrated involution of the cranial dural arteriovenous fistula with only a small residual arteriovenous shunt.


CONCLUSIONS
Sustained local pressure on the scalp may produce favorable symptomatic and angiographic changes in cranial dural arteriovenous fistulae.
Murphy
Mary
M
Department of Neurosurgery, Hurstwood Park Neurological Centre, Princess Royal Hospital, West Sussex, England.
Norris
John
J
D020785:Central Nervous System Vascular Malformations / Q000145:classification / Q000150:complications*; D002574:Cervical Vertebrae; D017586:Diskectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011843:Radiculopathy / Q000150:complications* / Q000601:surgery*; D012074:Remission Induction; D013123:Spinal Fusion; D013128:Spinal Osteophytosis / Q000150:complications* / Q000601:surgery*