Iatrogenic dural arteriovenous fistula after radical neck dissection for metastatic malignant disease: A case report

Abstract

This was a rare case of iatrogenic dAVF after surgical ligation of venous outflow during radical neck dissection. The surgical plan is presented along with a literature review regarding the development of iatrogenic dAVFs induced by direct surgical trauma.

The Potentiality for Development of Multiple Dural Arteriovenous Fistulas after Ligation of the Internal Jugular Vein: A Case Report

“… 3) There were only two cases which suggested that venous hypertension caused by stenosis or the occlusion of the internal jugular vein induced DAVFs. 4 , 5) The presented case was potentially “de novo” DAVFs because there were no venous dilatations before the ligation of the internal jugular vein and newly acquired DAVFs were revealed after the first interventional surgery. Although, this case has the possibilities that DAVFs with no retrograde flow already formed before the operation of the tongue cancer and became clinically evident after the occlusion of the internal jugular vein and the blockage of the anterograde flow.…”

“…Our case formed multiple DAVFs earlier than the previous case. 5) Modifying the venous drainage on the dominant side of the internal jugular vein induced the opening of the “dormant” channels and led to exacerbation of the arteriovenous shunts. In addition, venous hypertension also induced chronic regional hypoperfusion and the expression of angiogenic factors, which stimulated vascular endothelial proliferation and excessive angiogenesis in the dura mater around the sinus.…”

Occurrence of Metachronous Intracranial Dural Arteriovenous Fistula after Embolization of Intracranial Dural Arteriovenous Fistula: A Case Report

“…Since the exact pathogenesis of multiple DAVFs remain unclear, several theories have been proposed to explain the mechanisms of multiple DAVFs ( 3 ). However, some cases of DAVFs can be developed by specific cause such as trauma, inflammation, tumors, or iatrogenic injury after surgery such as craniotomy, or thromboarteriotomy of internal carotid stenosis ( 9 ). Even Suzuki et al ( 10 ) reported a case of DAVF caused by an elongated styloid process which compress the internal jugular vein and cause venous hypertension.…”

Subarachnoid hemorrhage due to a craniocervical junction arteriovenous fistula associated with thrombus formation in the internal jugular vein: illustrative case

“…To date, this case appears to be the first report of CCJAVF related to thrombus formation in the IJV; only four previous cases of intracranial AVFs after IJV occlusion or stenosis have been reported (Table 1). 21,[25][26][27] The AVF site is relatively common in the transverse or sigmoid sinus. The interval from IJV occlusion or stenosis to AVF formation ranges widely (4 months to 5 years).…”