title: Iatrogenic dural arteriovenous fistula and aneurysmal subarachnoid hemorrhage.
abstract: The authors present the case of a patient who presented acutely with aneurysmal subarachnoid hemorrhage (SAH) and a contralateral iatrogenic dural arteriovenous fistula (DAVF). Diagnostic angiography was performed, revealing a right-sided middle cerebral artery (MCA) aneurysm and a left-sided DAVF immediately adjacent to the entry of the ventriculostomy and bur hole site. A craniotomy was performed for clipping of the ruptured MCA aneurysm, and the patient subsequently underwent endovascular obliteration of the DAVF 3 days later. The authors present their treatment of an iatrogenic DAVF in a patient with an aneurysmal SAH, considerations in management options, and a literature review on the development of iatrogenic DAVFs.
authors.affiliation: Division of Neurosurgery and Interventional Neuroradiology, Hofstra North Shore-Long Island Jewish School of Medicine, and North Shore-Long Island Jewish Health System, Manhasset, New York 11030, USA. svadivel@nshs.edu
authors.forename: Sudhakar
authors.initials: S
authors.lastname: Vadivelu
authors.forename: Xin
authors.initials: X
authors.lastname: Xin
authors.forename: Tina
authors.initials: T
authors.lastname: Loven
authors.forename: Guillermo
authors.initials: G
authors.lastname: Restrepo
authors.forename: David J
authors.initials: DJ
authors.lastname: Chalif
authors.forename: Avi
authors.initials: A
authors.lastname: Setton
mesh_terms: D000328:Adult; D020785:Central Nervous System Vascular Malformations / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014696:Ventriculostomy / Q000379:methods