Dural arteriovenous fistula mimicking temporal arteritis

•Dural arteriovenous fistula (daVF) commonly presents with headache and seizures.•Bony indentation may be a sign of underlying dAVF due to cortical thinning.•It is crucial to rule out dural dAVF as it can lead to fatal intracranial haemorrhage.•Temporal arteritis and cerebral venous thrombosis mimic...

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Bibliographic Details
Published in:Clinical neurology and neurosurgery 2019-01, Vol.176, p.44-46
Main Authors: Naserrudin, Nadia Syafeera, Mohammad Raffiq, Mohammed Azman
Format: Article
Language:English
Subjects:
Age
Arteries
Arteries - surgery
Arteriovenous fistula
Arteriovenous Fistula - surgery
Arteritis
Case reports
Central Nervous System Vascular Malformations - diagnosis
Central Nervous System Vascular Malformations - surgery
Cerebral Angiography - methods
dura
Dura Mater - surgery
Embolization, Therapeutic - methods
Female
Fistula
Fistulae
Forehead
Giant Cell Arteritis - surgery
Headache
Headache - surgery
Headaches
Hemorrhage
Humans
Magnetic resonance imaging
Mimicry
NMR
Nuclear magnetic resonance
Rare diseases
Seizures
Sinuses
Superficial temporal artery
Temporal arteritis
Veins & arteries
Veins - surgery
Young Adult
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Summary:•Dural arteriovenous fistula (daVF) commonly presents with headache and seizures.•Bony indentation may be a sign of underlying dAVF due to cortical thinning.•It is crucial to rule out dural dAVF as it can lead to fatal intracranial haemorrhage.•Temporal arteritis and cerebral venous thrombosis mimics dAVF. Dural arteriovenous fistula (dAVF) is a very rare disease characterized by an abnormal vascular communication between arteries and veins in dural mater. It frequently presents with intracranial haemorrhage. Common presenting symptoms are headache and seizures. Here we report a case of dAVF in which the patient's symptoms mimic a temporal arteritis in a 23-year-old woman. She presented with painful mass at forehead for 9 months with frontotemporal headache. Magnetic resonance imaging demonstrated dural arteriovenous fistula. Since both diseases have different prognosis but similar presentation, it is important to ensure that there is no dural arteriovenous fistula in patient with suspected temporal arteritis.
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2018.11.021