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Case Reports
. 2023 Sep 13;11(9):e7916.
doi: 10.1002/ccr3.7916. eCollection 2023 Sep.

Coexistence of cerebral venous thrombosis and dural arteriovenous fistula in an adolescent: A case report

Man Bahadur Paudyal  1 , Madhur Bhattarai  1 , Neha Mehta  1 , Niraj Gautam  2 , Bikas Baral  1 , Niraj Kumar Sharma  1 , Rashika Basnet  3 , Bardan Ghimire  4
Affiliations
Case Reports

Coexistence of cerebral venous thrombosis and dural arteriovenous fistula in an adolescent: A case report

Man Bahadur Paudyal et al. Clin Case Rep. .

Abstract

Key clinical message: Clinicians should consider central venous thrombosis (CVT) as a differential diagnosis in young adolescents with persistent headaches. It is essential to assess for concurrent CVT and dural arteriovenous fistula (DAVF), particularly in those with a history of CVT.

Abstract: Cerebral venous thrombosis (CVT) and dural arteriovenous fistula (DAVF) are uncommon vascular disorders with diverse clinical presentations. The coexistence of CVT and DAVF is a rare but important association that may impact the management and prognosis of affected patients. Prothrombotic conditions generally ranging from acquired to genetic, oral contraceptives, malignancy, puerperium, infection, and head injury are the common risk factors for cerebral venous thrombosis. Here, we present a case of 18 years males who developed recurrent cerebral thrombosis on the background of the presence of an arteriovenous fistula.

Keywords: anti‐coagulant; cerebral venous thrombosis; dural arteriovenous fistula; thrombosis.

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Conflict of interest statement

The authors have no conflict of interest to declare.

Figures

FIGURE 1
FIGURE 1
NCCT head showing hyperdensity on bilateral transverse sinus.
FIGURE 2
FIGURE 2
Lateral, anterior, and oblique views of MR venography showing heterogenous altered signal flow in bilateral transverse venous sinuses.
FIGURE 3
FIGURE 3
Lateral and anterior views of DSA showing bilateral giant arteriovenous fistula with multiple collaterals.
See this image and copyright information in PMC

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