Dural arteriovenous fistula presenting with status epilepticus treated successfully with endovascular intervention
Journal
Acta Neurologica Taiwanica
Journal Volume
24
Journal Issue
2
Pages
52-56
Date Issued
2015
Author(s)
Abstract
Purpose: Status epilepticus was rarely reported as the initial manifestation of intracranial dural arteriovenous fistulas. Successful treatment with endovascular intervention has not been reported in the literature. Case Report: We report three cases of dural arteriovenous fistulas initially presenting with various types of status epilepticus, including generalized tonic-clonic status epilepticus, complex partial status epilepticus, and nonconvulsive status epilepticus. The status epilepticus of these patients was successfully terminated through aggressive endovascular intervention in conjunction with antiepileptic drugs. Conclusion: These cases highlight the importance of intracranial dural arteriovenous fistulas in diagnosing patients with status epilepticus. Moreover, directly treating dural arteriovenous fistulas plays a crucial role in addition to anti-epileptic drugs therapy in controlling seizures in patients with dural arteriovenous fistulas related status epilepticus.
SDGs
Other Subjects
anticonvulsive agent; midazolam; phenytoin; anticonvulsive agent; adult; aged; anticonvulsant therapy; Article; artificial embolism; balloon dilatation; brain angiography; brain hematoma; brain infarction; case report; cerebral sinus thrombosis; clinical feature; complex partial seizure; computed tomographic angiography; continuous infusion; convulsion; digital subtraction angiography; disease association; disease control; dural arteriovenous fistula; electroencephalography; endovascular surgery; epileptic discharge; epileptic state; female; focal epilepsy; Glasgow coma scale; grand mal epilepsy; hemiparesis; human; magnetic resonance angiography; male; middle aged; middle cerebral artery occlusion; neuroimaging; nuclear magnetic resonance imaging; percutaneous transluminal angioplasty; quadriplegia; sigmoid sinus thrombosis; tic; very elderly; artificial embolization; Central Nervous System Vascular Malformations; complication; endovascular surgery; procedures; Status Epilepticus; Aged; Aged, 80 and over; Angioplasty, Balloon; Anticonvulsants; Central Nervous System Vascular Malformations; Embolization, Therapeutic; Endovascular Procedures; Female; Humans; Male; Middle Aged; Status Epilepticus
Type
journal article