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Advanced Neurology Seizure as the first symptom of CS-DAVF

simplex encephalitis. Therefore, we tested the patient’s Ethics approval and consent to participate
CSF collected from a lumbar puncture The intracranial
hypertension justifies the dilatation of the left SOV, but the Written consent was obtained from the patient. The
results of CSF examination did not support the diagnosis of Medical Ethics Committee of the Affiliated Hospital of
HSE. The patient also did not develop fever, headache, and Weifang Medical University approved the study (wyfy-
other typical symptoms of intracranial infection, but signs 2023-ky-127).
of involuntary grip were found during hospitalization. To Consent for publication
rule out autoimmune encephalitis, we carried out a series
of antibody tests, which ended up with negative results. Written informed consent was obtained from the patient
To clarify the cause of cerebral hemorrhage and edema, for publicatWion of this case report and any accompanying
we performed cerebral angiography. The results of the images.
examination and the process of treatment are described in Availability of data
the preceding section.
The datasets used and/or analyzed during the present study
4. Conclusion are available from the corresponding author on reasonable
Seizure as the first symptom of CS-DAVF is not commonly request.
reported. Thus, CS-DAVF is commonly ruled out References
during the diagnosis process in the first place due to the
paucity of relevant reports. Due to the particularity of its 1. Hou K, Li G, Luan T, Xu K, Yu J. Endovascular treatment
manifestations, we should be vigilant during the diagnosis of the cavernous sinus dural arteriovenous fistula: Current
process to reduce the occurrence of misdiagnosis. Due to status and considerations. Int J Med Sci. 2020;17:1121-1130
the widespread use of non-invasive neuroimaging, cerebral doi: 10.7150/ijms.45210
arteriovenous malformations are diagnosed with increasing 2. Tanioka S, Sato Y, Nampei M, Tsuda K, Niwa S, Suzuki H.
frequency. Detection, diagnosis, and treatment at an Cavernous sinus dural arteriovenous fistula presenting with
early stage, as well as prevention of vascular rupture and intracerebral hemorrhage associated with chronological
bleeding, are the key to keeping the serious complications angiographic demonstration of disturbed leptomeningeal
of CS-DAVF at bay. In the context of unruptured cerebral venous drainage as the sole outflow route. World Neurosurg.
arteriovenous malformation, clinicians should carefully 2016;95:617.e7-e12.
weigh the pros and cons of existing treatment modalities doi: 10.1016/j.wneu.2016.08.077
with the aim of selecting the appropriate treatment regimen 3. Iki Y, Morofuji Y, Somagawa C, et al. Surgical venous
that could maximize the patient’s life expectancy and meet drainage disconnection from cavernous sinus dural
their preferences. arteriovenous fistula and ruptured varix. World Neurosurg.
2020;137:18-23.
Acknowledgments
doi: 10.1016/j.wneu.2020.01.058
We are grateful to the patient who has given us the consent
to present her case in this report. 4. Ha JG, Jeong HW, In HS, Choi SJ. Transvenous embolization
of cavernous sinus dural arteriovenous fistula using the
Funding direct superior ophthalmic vein approach: A case report.
Neurointervention. 2011;6:100-103.
This study is supported by Clinical Research Center of doi: 10.5469/neuroint.2011.6.2.100
Affiliated Hospital of Weifang Medical University (Grant
ID: 2022WYFYLCYJ02). 5. Alexander MD, Darflinger R, Cooke DL, Halbach VV.
Cerebral arteriovenous fistulae. Handb Clin Neurol.
Conflict of interest 2021;176:179-198.
The authors declare that they have no conflicts of interest. doi: 10.1016/B978-0-444-64034-5.00004-3
6. Quaranta L, De Simone R, Tavanti F, Biraschi F, Iani C. Focal
Author contributions status epilepticus in dural arteriovenous fistula detected
Conceptualization: Yanqiang Wang after a two-step clinical course: A case report. Seizure.
2021;86:210-212.
Data curation: Mengxin Li, Xiaojun Zhang
Formal analysis: Shuai Jia, Jian Li, Jianhong Geng doi: 10.1016/j.seizure.2021.01.015
Writing – original draft: Yanqiang Wang 7. Cognard C, Gobin YP, Pierot L, et al. Cerebral dural
Writing – review & editing: All authors arteriovenous fistulas: Clinical and angiographic correlation

Volume 3 Issue 1 (2024) 6 https://doi.org/10.36922/an.0980