Manzo Marco, D'Urso Pietro Ivo
Department of Neurosurgery, Manchester Centre of Clinical Neurosciences, Salford, Manchester, United Kingdom.
Surg Neurol Int. 2020 May 23;11:127. doi: 10.25259/SNI_99_2020. eCollection 2020.
Concomitant dural arteriovenous fistulas (DAVFs) and meningiomas have been rarely described. DAVFs can be either continuous or at a distant location from the meningioma, with different pathophysiologic mechanisms involved in each situation.
We report the case of a 74-year-old woman presenting with left-sided hemiparesis secondary to a large right convexity meningioma, associated with a noncontiguous Borden 3 DAVF. Both lesions were treated surgically in the same setting. The patient improved after surgery, and postoperative imaging showed complete resection of the meningioma and absence of recurrence of the fistula at 4 years.
To the best of our knowledge, this is the first case of concomitant surgical treatment of a meningioma and noncontiguous DAVF.
硬脑膜动静脉瘘（DAVF）与脑膜瘤同时存在的情况鲜有报道。DAVF 与脑膜瘤可以是连续的，也可以位于远离脑膜瘤的部位，每种情况涉及不同的病理生理机制。
我们报告了一例 74 岁女性患者，因巨大的右侧凸面脑膜瘤继发左侧偏瘫，同时伴有非连续性的 Borden 3 级 DAVF。在同一手术中对这两个病变进行了治疗。患者术后病情改善，术后影像学检查显示脑膜瘤完全切除，且瘘管在 4 年时无复发。
据我们所知，这是首例同时对脑膜瘤和非连续性 DAVF 进行手术治疗的病例。
