Open Access

Moyamoya disease concurrent with dural arteriovenous fistula: A case report and literature review

  • Authors:
    • Kun Hou
    • Yuhao Zhao
    • Xuan Chen
    • Kan Xu
    • Jinlu Yu
  • View Affiliations

  • Published online on: October 9, 2020     https://doi.org/10.3892/etm.2020.9290
  • Article Number: 161
  • Copyright: © Hou et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Moyamoya disease (MMD) and dural arteriovenous fistula (DAVF) are two distinct types of intracranial lesion that share different pathogenic mechanisms. Under rare circumstances, patients with MMD have been reported to have concurrent DAVF. The present case study reports on a 47‑year‑old male admitted due to sudden headache. Head CT revealed hemorrhage of the right thalamus with ventricular extension. On CT angiography, the normal vasculature in the anterior and posterior circulation disappeared and was replaced by moyamoya‑like vessels. The patient received conservative management and was discharged 3 days later. After three months, the patient was readmitted for acute cerebellar hemisphere infarction. Angiogram indicated that the DAVF (Cognard classification Ⅰ) was supplied by the left middle meningeal artery, occipital artery and posterior meningeal artery and drained into the transverse‑sigmoid sinus and occipital sinus. Conservative management of the DAVF was adopted. The patient was stable and lived independently during a 4‑year follow‑up. A literature review of the reported cases was also performed to further characterize this rare entity. The management of DAVF concurrent with MMD depends on its clinical presentation and invasiveness. For patients with symptoms or cortical venous drainage, endovascular intervention should be performed. For asymptomatic DAVFs or those without cerebral venous drainage, close follow‑up is a reasonable option.
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December-2020
Volume 20 Issue 6

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Hou K, Zhao Y, Chen X, Xu K and Yu J: Moyamoya disease concurrent with dural arteriovenous fistula: A case report and literature review. Exp Ther Med 20: 161, 2020.
APA
Hou, K., Zhao, Y., Chen, X., Xu, K., & Yu, J. (2020). Moyamoya disease concurrent with dural arteriovenous fistula: A case report and literature review. Experimental and Therapeutic Medicine, 20, 161. https://doi.org/10.3892/etm.2020.9290
MLA
Hou, K., Zhao, Y., Chen, X., Xu, K., Yu, J."Moyamoya disease concurrent with dural arteriovenous fistula: A case report and literature review". Experimental and Therapeutic Medicine 20.6 (2020): 161.
Chicago
Hou, K., Zhao, Y., Chen, X., Xu, K., Yu, J."Moyamoya disease concurrent with dural arteriovenous fistula: A case report and literature review". Experimental and Therapeutic Medicine 20, no. 6 (2020): 161. https://doi.org/10.3892/etm.2020.9290