Perisylvian arteriovenous malformation mimicking carotid cavernous fistula operative video

Authors

Michael Young, Advocate Aurora Health
Ryan Johnson
Hamad Farhat, Advocate Aurora HealthFollow

Recommended Citation

Young M, Johnson R, Farhat H. Perisylvian Arteriovenous Malformation Mimicking Carotid Cavernous Fistula: Operative Video. Cureus. 2020 Dec 26;12(12):e12297. doi: 10.7759/cureus.12297. PMID: 33510991; PMCID: PMC7831853

Affiliations

Advocate Health Care

Advocate Christ Medical Center

Abstract

Brain arteriovenous malformations (AVM) commonly present for medical attention after a patient experiences a rupture that results in a focal neurologic deficit, an epileptic event, or is found incidentally on cranial imaging performed for an unrelated reason. In contrast, carotid-cavernous fistulas (CCF) can develop high-flow arteriovenous shunting with symptoms attributable to venous hypertension. We discuss a unique case of a 54-year-old female presenting with signs and symptoms suggestive of a CCF but was found to have a perisylvian AVM with an enlarged draining vein draining into the cavernous sinus. Our case report demonstrates a combined endovascular and open surgical approach to a unique presentation of a brain AVM with the resolution of ocular symptoms.

Document Type

Article

PubMed ID

33510991