title: An unusual complication following translabyrinthine resection of an acoustic neuroma.
abstract: We report the case of a 58-year old man who presented with a 4 cm right acoustic neuroma. He underwent a translabyrinthine resection. Two years later he presented with multiple strokes and progressive generalised deterioration. A cerebral angiogram demonstrated an extensive right side cerebellar dural arteriovenous fistula with retrograde flow causing corticovenous reflux. The fistula was treated successfully endovascularly. There is only one published report of a dural arteriovenous fistula occurring following acoustic neuromas surgery. The pathogenesis and management of this unusual complication is discussed.
authors.affiliation: Department of Neurosurgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
authors.forename: Shungu O S
authors.initials: SO
authors.lastname: Ushewokunze
authors.forename: Allan
authors.initials: A
authors.lastname: Thomas
authors.forename: Saleh
authors.initials: S
authors.lastname: Lamin
authors.forename: Richard M
authors.initials: RM
authors.lastname: Irving
authors.forename: A Richard
authors.initials: AR
authors.lastname: Walsh
mesh_terms: D001164:Arteriovenous Fistula / Q000209:etiology* / Q000601:surgery; D002533:Cerebral Angiography; D004388:Dura Mater / Q000098:blood supply*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009464:Neuroma, Acoustic / Q000601:surgery*; D011183:Postoperative Complications; D020521:Stroke / Q000209:etiology; D016896:Treatment Outcome