Post-angiography spontaneous closure of cavernous sinus dural arteriovenous fistula: case report in Indonesia
Abstract Intracranial cases of dural arteriovenous fistulas (dAVF) with spontaneous closure rarely occur. We reported a cavernous sinus dAVF (CS-DAVF) that closed spontaneously only after angiography. The patient complained of redness of left eye with reduced visual acuity, chemosis, retro-orbital p...
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| Language: | English |
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SpringerOpen
2025-02-01
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| Series: | Egyptian Journal of Neurosurgery |
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| Online Access: | https://doi.org/10.1186/s41984-025-00348-2 |
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| author | Affan Permana Stevanus Samudra Fabianto Santoso Adiguno Wicaksono |
| author_facet | Affan Permana Stevanus Samudra Fabianto Santoso Adiguno Wicaksono |
| author_sort | Affan Permana |
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| description | Abstract Intracranial cases of dural arteriovenous fistulas (dAVF) with spontaneous closure rarely occur. We reported a cavernous sinus dAVF (CS-DAVF) that closed spontaneously only after angiography. The patient complained of redness of left eye with reduced visual acuity, chemosis, retro-orbital pain, and ophthalmoplegia. The patient was compos mentis with anisocoria (right pupil with 3 mm diameter and left pupil with 5 mm diameter) and negative pupillary right reflex except the direct pupillary light reflex at the right eye. Diagnostic digital subtraction angiography (DSA) was performed two times without any intervention. The contrast could not fill the superior ophthalmic vein at the second DSA. At the therapeutic DSA a month later, the fistula between left and right meningohypophyseal trunk toward the cavernous sinus was no longer identified. We hypothesized that the phenomenon of spontaneous dAVF closure is similar by the mechanism according to publication by Al-Afif et al. as the patient had no history of trauma and only received diagnostic angiography procedure along with the contrast that used for the procedure. |
| format | Article |
| id | doaj-art-ee5158e906cc41dcaad0cc021f61365d |
| institution | Kabale University |
| issn | 2520-8225 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Journal of Neurosurgery |
| spelling | doaj-art-ee5158e906cc41dcaad0cc021f61365d2025-02-09T12:25:05ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252025-02-014011610.1186/s41984-025-00348-2Post-angiography spontaneous closure of cavernous sinus dural arteriovenous fistula: case report in IndonesiaAffan Permana0Stevanus Samudra1Fabianto Santoso2Adiguno Wicaksono3Department of Neurosurgery, Cipto Mangunkusumo National Referral HospitalDepartment of Neurosurgery, Cipto Mangunkusumo National Referral HospitalDepartment of Neurosurgery, Cipto Mangunkusumo National Referral HospitalDepartment of Neurosurgery, Sardjito Central General HospitalAbstract Intracranial cases of dural arteriovenous fistulas (dAVF) with spontaneous closure rarely occur. We reported a cavernous sinus dAVF (CS-DAVF) that closed spontaneously only after angiography. The patient complained of redness of left eye with reduced visual acuity, chemosis, retro-orbital pain, and ophthalmoplegia. The patient was compos mentis with anisocoria (right pupil with 3 mm diameter and left pupil with 5 mm diameter) and negative pupillary right reflex except the direct pupillary light reflex at the right eye. Diagnostic digital subtraction angiography (DSA) was performed two times without any intervention. The contrast could not fill the superior ophthalmic vein at the second DSA. At the therapeutic DSA a month later, the fistula between left and right meningohypophyseal trunk toward the cavernous sinus was no longer identified. We hypothesized that the phenomenon of spontaneous dAVF closure is similar by the mechanism according to publication by Al-Afif et al. as the patient had no history of trauma and only received diagnostic angiography procedure along with the contrast that used for the procedure.https://doi.org/10.1186/s41984-025-00348-2Dural arteriovenous fistulaSpontaneous closureDigital subtraction angiographyCavernous sinus dural arteriovenous fistula |
| spellingShingle | Affan Permana Stevanus Samudra Fabianto Santoso Adiguno Wicaksono Post-angiography spontaneous closure of cavernous sinus dural arteriovenous fistula: case report in Indonesia Egyptian Journal of Neurosurgery Dural arteriovenous fistula Spontaneous closure Digital subtraction angiography Cavernous sinus dural arteriovenous fistula |
| title | Post-angiography spontaneous closure of cavernous sinus dural arteriovenous fistula: case report in Indonesia |
| title_full | Post-angiography spontaneous closure of cavernous sinus dural arteriovenous fistula: case report in Indonesia |
| title_fullStr | Post-angiography spontaneous closure of cavernous sinus dural arteriovenous fistula: case report in Indonesia |
| title_full_unstemmed | Post-angiography spontaneous closure of cavernous sinus dural arteriovenous fistula: case report in Indonesia |
| title_short | Post-angiography spontaneous closure of cavernous sinus dural arteriovenous fistula: case report in Indonesia |
| title_sort | post angiography spontaneous closure of cavernous sinus dural arteriovenous fistula case report in indonesia |
| topic | Dural arteriovenous fistula Spontaneous closure Digital subtraction angiography Cavernous sinus dural arteriovenous fistula |
| url | https://doi.org/10.1186/s41984-025-00348-2 |
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