Intracranial hypertension secondary to cervical dural arteriovenous fistula

Idiopathic intracranial hypertension (IIH) is a disease of mainly unknown etiology. Latest theories as to the pathogenesis have postulated a final common pathway of cerebral venous hypertension secondary to venous outflow impairment leading to decreased cerebrospinal fluid absorption. We present the case of a 42-year-old female who was treated for several years for headache and for approximately 12 months for IIH until appropriate imaging showed a right-sided cervical dural arteriovenous fistula (AVF) at the level of C4. The patient's IIH symptoms resolved following surgical excision of the fistula. We suggest that the cranial venous outflow impairment secondary to the cervical AVF was responsible for intracranial hypertension and that complete investigation of IIH patients should include imaging of the neck vasculature.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Intracranial hypertension secondary to cervical dural arteriovenous fistula ; volume:13 ; number:03 ; year:2018 ; pages:854-857
Asian journal of neurosurgery ; 13, Heft 03 (2018), 854-857

Contributor
Pulhorn, Heinke
Chandran, Arun
Nahser, Hans
Wilby, Martin
McMahon, Catherine

DOI
10.4103/ajns.AJNS_328_16
URN
urn:nbn:de:101:1-2022112410492952088655
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:27 AM CEST

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Associated

  • Pulhorn, Heinke
  • Chandran, Arun
  • Nahser, Hans
  • Wilby, Martin
  • McMahon, Catherine

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