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Chirurgia 2011 December;24(6):365-7

language: English

Early spontaneous disappearance of a “benign” cranial dural arteriovenous fistula with hemorrhagic onset

Cecchi P. C., Schwarz A.

Operative Unit of Neurosurgery, Regional General Hospital, Bolzano, Italy


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Dural arteriovenous fistulas are rare acquired vascular lesions that may cause intracranial haemorrhage. Angioarchitectural features, particularly the presence of cortical venous drainage, influence their clinical natural history with a distinction of “benign” versus “aggressive” lesions. We describe a very rare case of cranial dural arteriovenous fistulas without cortical venous drainage with an haemorrhagic onset spontaneously disappearing in two weeks, together with a discussion of the possible physiopathological mechanisms.

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