Multiple dural arteriovenous fistulae and SARS CoV-2, a lethal combination
Introduction: Dural arteriovenous fistulas are abnormal communications between the arterial and dural sinus vessels or the cortical veins. Multiple dural arteriovenous fistulae have an incidence rate of 6-9%. Their pathophysiology is poorly understood, although there is a consensus on three theories for their formation. The systemic infection caused by SARS-CoV-2 in its severe presentations is associated with a pro-inflammatory state that represents an ideal condition for complications of pre-existing cerebrovascular diseases. Digital subtraction angiography is considered the gold standard to understand the architecture of this lesion. Case Presentation: The patient was a 49-year-old male with a history of multiple head trauma, a 20-year history of tobacco use, tinnitus, and gradual deterioration of higher mental functions. On admission, he presented respiratory distress and was dependent on oxygen. Conclusion: This case presents a bleak picture of the overlap between two devastating diseases as a clear example of the direct and collateral damage of the SARS-CoV-2 pandemic. Coronavirus disease in 2019 does not exclude a previous underlying pathology..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:23 |
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| Enthalten in: |
Medicina Universitaria - 23(2021), 4 |
| Sprache: |
Englisch ; Spanisch |
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| Beteiligte Personen: |
Carlos G. Seañez [VerfasserIn] |
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| Links: |
doi.org [kostenfrei] |
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| Themen: |
Medicine (General) |
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| doi: |
10.24875/RMU.21000022 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
DOAJ051587238 |
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| 520 | |a Introduction: Dural arteriovenous fistulas are abnormal communications between the arterial and dural sinus vessels or the cortical veins. Multiple dural arteriovenous fistulae have an incidence rate of 6-9%. Their pathophysiology is poorly understood, although there is a consensus on three theories for their formation. The systemic infection caused by SARS-CoV-2 in its severe presentations is associated with a pro-inflammatory state that represents an ideal condition for complications of pre-existing cerebrovascular diseases. Digital subtraction angiography is considered the gold standard to understand the architecture of this lesion. Case Presentation: The patient was a 49-year-old male with a history of multiple head trauma, a 20-year history of tobacco use, tinnitus, and gradual deterioration of higher mental functions. On admission, he presented respiratory distress and was dependent on oxygen. Conclusion: This case presents a bleak picture of the overlap between two devastating diseases as a clear example of the direct and collateral damage of the SARS-CoV-2 pandemic. Coronavirus disease in 2019 does not exclude a previous underlying pathology. | ||
| 650 | 4 | |a Multiple dural arteriovenous fistulae. SARS-CoV-2. Dural venous sinuses. Cortical veins. | |
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