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KMID : 1150320210170010013
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Journal of Korean Society of Geriatric Neurosurgery
2021 Volume.17 No. 1 p.13 ~ p.15
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Intracranial pial arteriovenous fistula in a liver cirrhotic patient with esophageal varix
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Shin Hyun-Jae
Kim Dae-Kyun
Jang Suk-Jung
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Abstract
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Pial arteriovenous fistula (AVF) is a rare cerebrovascular malformation. According to a series reported by Halbach, pial AVF accounts for 1.6% of all intracranial vascular malformations. Herein, we report a rare case of pial AVF in a 67-year-old male on medication for alcoholic liver cirrhosis (Child-Pugh A) with esophageal varix, who presented with left-side motor weakness and mental fogginess. Digital subtraction angiography revealed contrast leakage in the left internal carotid artery and confirmed pial AVF. After angiography, brain computed tomography confirmed contrast leakage due to a ruptured fistulous point. Therefore, a Guglielmi detachable coil was placed and Onyx embolization to the fistula point was performed. In the present report, we describe this rare case and provide a review of the literature.
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KEYWORD
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Intracranial hemorrhage, Liver cirrhosis, Arteriovenous fistula
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