Fernández-Abinader José A, Pagán-Rodríguez Allyson, Feliciano Caleb, Rondón-Granados Héctor
Neurosurgery Resident, PGY 6, Neurosurgery Section, Department of Surgery, University of Puerto Rico Medical Sciences Campus, San Juan, PR.
Third Year Medical Student, Ponce Health Sciences University, Ponce, PR.
P R Health Sci J. 2019 Sep;38(3):198-200.
Dural arteriovenous fistulae (DAVF) are vascular abnormalities in which arteriovenous shunts are contained in between the periosteal and meningeal lamellae of the dura matter. Rarely, multiple DAVF are diagnosed in a single patient; occurring in only about 8% of the diagnosed cases. We describe a rare presentation of DAVF in a patient with multiple DAVF, at 3 separate sites within the cranial cavity; associated with a medical history of two traumatic motor-vehicle accidents, total anomalous pulmonary venous return (TAPVR), and acquired aplastic anemia. We describe our approach in the treatment of this complex condition.
