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Open AccessCase Report

Delayed Onset of Dural Arteriovenous Fistula Following Trauma

1
Seton Brain and Spine Institute, Round Rock, TX 78665, USA
2
Department of Neurosurgery, Dell Medical School, University of Texas at Austin, Austin, TX 78712, USA
*
Author to whom correspondence should be addressed.
Reports 2019, 2(2), 14; https://doi.org/10.3390/reports2020014
Received: 12 April 2019 / Revised: 30 April 2019 / Accepted: 2 May 2019 / Published: 4 May 2019
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Abstract

Dural Arteriovenous Fistulas (dAVF) are pathological shunts that are often idiopathic in presentation. However, it is reported that many patients presenting with dAVF have past medical histories notable for surgeries, hypercoagulation disorders, infections, and trauma. In trauma-linked dAVF, presentation generally occurs within 48 h post-incident. In the present case, the authors discuss the delayed onset of a Borden type II dAVF in a patient 12 hospital days post-trauma, as well as the course of treatment. This unique case provides a compelling demonstration for providers to be aware of the development of dAVF, even after the typical 48-hour post-trauma window. By being aware of the possibility of delayed dAVF presentation, delayed diagnosis or misdiagnosis can be avoided and emergent action can be taken. View Full-Text
Keywords: traumatic brain injury; arteriovenous; fistula; trauma; delayed; dAVF traumatic brain injury; arteriovenous; fistula; trauma; delayed; dAVF
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Richardson, W.; Satarasinghe, P.; Koltz, M.T. Delayed Onset of Dural Arteriovenous Fistula Following Trauma. Reports 2019, 2, 14.

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