Case Report Challenges and Triumph: Endovascular Treatment of Vein of Galen Dural Arteriovenous Fistula Presenting with Subarachnoid Hemorrhage and Intraventricular Extension: Challenges and Triumph: Endovascular Treatment of Vein of Galen Dural Arteriovenous Fistula Presenting with Subarachnoid Hemorrhage and Intraventricular Extension

Admin; Rakesh K  Singh

doi:10.15713/ins.bhj.152

Authors

Admin https://orcid.org/0000-0003-2123-2524
Rakesh K Singh MD DM Room No 129, Consultant Intervention Neurologist, Department of Neurology, Bombay Hospital Institute of Medical Sciences, Mumbai

DOI:

https://doi.org/10.15713/ins.bhj.152

Keywords:

Vein of galen dural AV fistula, endovascular treatment, high risk case

Abstract

Dural arteriovenous fistulas (DAVF) can manifest with diverse neurological symptoms, often leading to misdiagnosis. Therefore, maintaining a high index of suspicion is imperative. These fistulas may present as pulsatile tinnitus, cognitive impairment, behavioral symptoms, or intracranial hemorrhage. Galenic DAVFs, a rare subtype, exhibit a heightened risk of hemorrhage and an aggressive clinical course. We present a case of a patient with vein of Galen DAVF who presented with subarachnoid and intraventricular hemorrhage (IVH), successfully treated through Onyx embolization, resulting in complete recovery.

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