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...
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| Autores principales: | , , , , |
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| Formato: | article |
| Lenguaje: | EN ES |
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2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/3634e677793c4022b06582262b7ae6aa |
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| Sumario: | 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.
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