Dural arteriovenous fistula after craniotomy for pilocytic astrocytoma in a patient with protein S deficiency

Reza Yassari; Babak S. Jahromi; R. Loch Macdonald

doi:10.1016/S0090-3019(02)00730-9

Dural arteriovenous fistula after craniotomy for pilocytic astrocytoma in a patient with protein S deficiency

Reza Yassari, Babak S. Jahromi, R. Loch Macdonald

Research output: Contribution to journal › Article › peer-review

21 Scopus citations

Abstract

BACKGROUND: We report an unusual case, which may provide insight into the etiology and pathogenesis of dural arteriovenous malformation. CASE DESCRIPTION: A 24-year-old woman presented with hemorrhage into a pilocytic astrocytoma of the collicular plate. Angiography was normal and the tumor was surgically resected. She developed sigmoid sinus thrombosis and a transverse/sigmoid sinus dural arteriovenous fistula 11 months after this and was found to have protein S deficiency. The fistula was not treated. Angiography 4 years later was unchanged. CONCLUSION: This report illustrates an acquired etiology of a dural arteriovenous fistula. To our knowledge this is the first reported case of postoperative sigmoid sinus thrombosis along with arteriovenous fistula in a patient with previously undetected protein S deficiency.

Original language	English (US)
Pages (from-to)	59-64
Number of pages	6
Journal	Surgical neurology
Volume	58
Issue number	1
DOIs	https://doi.org/10.1016/S0090-3019(02)00730-9
State	Published - Jul 1 2002
Externally published	Yes

Keywords

Intracranial arteriovenous malformation
Pilocytic astrocytoma
Protein S deficiency
Venous thrombosis

ASJC Scopus subject areas

Surgery
Clinical Neurology

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title = "Dural arteriovenous fistula after craniotomy for pilocytic astrocytoma in a patient with protein S deficiency",

abstract = "BACKGROUND: We report an unusual case, which may provide insight into the etiology and pathogenesis of dural arteriovenous malformation. CASE DESCRIPTION: A 24-year-old woman presented with hemorrhage into a pilocytic astrocytoma of the collicular plate. Angiography was normal and the tumor was surgically resected. She developed sigmoid sinus thrombosis and a transverse/sigmoid sinus dural arteriovenous fistula 11 months after this and was found to have protein S deficiency. The fistula was not treated. Angiography 4 years later was unchanged. CONCLUSION: This report illustrates an acquired etiology of a dural arteriovenous fistula. To our knowledge this is the first reported case of postoperative sigmoid sinus thrombosis along with arteriovenous fistula in a patient with previously undetected protein S deficiency.",

keywords = "Intracranial arteriovenous malformation, Pilocytic astrocytoma, Protein S deficiency, Venous thrombosis",

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N2 - BACKGROUND: We report an unusual case, which may provide insight into the etiology and pathogenesis of dural arteriovenous malformation. CASE DESCRIPTION: A 24-year-old woman presented with hemorrhage into a pilocytic astrocytoma of the collicular plate. Angiography was normal and the tumor was surgically resected. She developed sigmoid sinus thrombosis and a transverse/sigmoid sinus dural arteriovenous fistula 11 months after this and was found to have protein S deficiency. The fistula was not treated. Angiography 4 years later was unchanged. CONCLUSION: This report illustrates an acquired etiology of a dural arteriovenous fistula. To our knowledge this is the first reported case of postoperative sigmoid sinus thrombosis along with arteriovenous fistula in a patient with previously undetected protein S deficiency.

AB - BACKGROUND: We report an unusual case, which may provide insight into the etiology and pathogenesis of dural arteriovenous malformation. CASE DESCRIPTION: A 24-year-old woman presented with hemorrhage into a pilocytic astrocytoma of the collicular plate. Angiography was normal and the tumor was surgically resected. She developed sigmoid sinus thrombosis and a transverse/sigmoid sinus dural arteriovenous fistula 11 months after this and was found to have protein S deficiency. The fistula was not treated. Angiography 4 years later was unchanged. CONCLUSION: This report illustrates an acquired etiology of a dural arteriovenous fistula. To our knowledge this is the first reported case of postoperative sigmoid sinus thrombosis along with arteriovenous fistula in a patient with previously undetected protein S deficiency.

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KW - Venous thrombosis

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