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Epistaxis caused by a dural AV‐fistula at the cribriform plate
Author(s) -
van Dijk J. Marc C.,
KorstenMeijer Astrid G. W.,
Mazuri Aryan
Publication year - 2014
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.24755
Subject(s) - cribriform plate , medicine , cribriform , neurovascular bundle , arteriovenous fistula , fistula , craniotomy , radiology , cerebral angiography , angiography , surgery , catheter , embolization , pathology , carcinoma
Objectives/Hypothesis A dural arteriovenous fistula (DAVF) with cortical venous reflux (CVR) is a dangerous neurovascular entity. A DAVF at the cribriform plate is typically silent until its inevitable presentation with intracranial hemorrhage. Case Summary A 67‐year‐old male presented with severe epistaxis. Following unsuccessful conventional measures and a surgical exploration, a catheter angiography showed a DAVF at the cribriform plate, with its nidus extending into the nasal cavity. The DAVF was treated via a small craniotomy. Conclusion In case of atypical or unexplained nosebleeds, the possibility of a DAVF or other neurovascular pathology should be excluded by MRI/MRA or catheter angiography. Laryngoscope , 124:2476–2477, 2014
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