Spontaneous Healing of Intracranial Dural Fistula

Z. Jamaleddine, R Labbioui, F. A El Quessar Department of radiology

Cheikh Zaid hospitalRABAT- MOROCCO

OBSERVATION

Patient 53 years Installation of a rapidly progressive cerbellar

syndrome with vertigo,

Gait and speech disorder.

MAY18th 2010:Initial arteriography was performed, 

AVF.

External carotid unexplored.

June 5th 2010:A second angiogrphy 

An significant slowdown of the fistula  

No abnormality of the external carotid angiograms.

December 9th 2010:The last inspection was performed after 6

months, normal.

Discussion

Spontaneous recovery is rare,

Few cases reported in the literature.

Several assumptions: Thrombosis of the sinus drainage.

Cerebral hemorrhage with mass effect of hematoma.

Vasospasm .

Post angiography.

The majority of spontaneous recovery of interest to the type I (table), the sudden disappearance of the symptoms and spontaneous is the most common clinical presentation.

Alain Luciani, Emmanuel Houdart, Charbel Mounayer,Jean-Pierre Saint Maurice and Jean-Jacques Merland, Spontaneous Closure of Dural Arteriovenous Fistulas: Report of Three Cases and Review of the Literature, American Journal of Neuroradiology 22:992-996 (5 2001).

Conclusion

Spontaneous closure of the dural fistula is a

rare event and are interested mainly type I

fistulas, the sudden disappearance of

symptoms is the usual clinical presentation. 

References: Will Adams; Peter Whitfield, ACNR • VOLUME 7 NUMBER 3

• JULY/AUGUST 2007. Alain Luciani, Emmanuel Houdart, Charbel Mounayer,Jean-

Pierre Saint Maurice and Jean-Jacques Merland,

Spontaneous Closure of Dural Arteriovenous Fistulas: Report of Three Cases and Review of the Literature, American Journal of Neuroradiology 22:992-996 (5 2001).

E. Houdart, J.-P. Saint-Maurice , R. Chapot J.-J. Merland, Fistules artérioveineuses durales intracrâniennes, Encyclopédie Médico-Chirurgicale 17-490 , (2003).

P. TABRIZI, R.F. SPETZLER, C.MCDOUGALL, F.C.ALBUQUERQUE, Cerebral Dural arteriovenous Fistula, Interventional Neuroradiology 9 (Suppl 2): 101-102, 2003.