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Case Reports
. 2019 Dec;33(6):681-683.
doi: 10.1080/02688697.2017.1400521. Epub 2017 Nov 9.

Incidental ethmoidal dural arteriovenous fistula coexisting with a pituitary adenoma exacerbating post-transsphenoidal epistaxis

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Case Reports

Incidental ethmoidal dural arteriovenous fistula coexisting with a pituitary adenoma exacerbating post-transsphenoidal epistaxis

Keisuke Yoshida et al. Br J Neurosurg. 2019 Dec.

Abstract

A 64 year-old man with pituitary adenoma developed massive epistaxis after an uneventful endoscopic transsphenoidal surgery. Angiography showed extravasation from the sphenopalatine artery, to which embolisation was performed. An incidentally coexisting ethmoidal dural arteriovenous fistula supplied by the ophthalmic artery aberrantly originated from the middle meningeal artery caused increased haemorrhage.

Keywords: Ethmoidal dural arteriovenous fistula; endovascular embolisation; pituitary adenoma; post-transsphenoidal epistaxis.

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