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: Carlos G. Seañez, Jesus A. Morales, Valeria González, Luis F. Checca, Angel R. Martínez-Ponce de León
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Publicado: Permanyer 2021
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Acceso en línea:https://doaj.org/article/3634e677793c4022b06582262b7ae6aa
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spelling oai:doaj.org-article:3634e677793c4022b06582262b7ae6aa2021-12-03T21:50:14ZMultiple dural arteriovenous fistulae and SARS CoV-2, a lethal combination10.24875/RMU.210000221665-57962530-0709https://doaj.org/article/3634e677793c4022b06582262b7ae6aa2021-10-01T00:00:00Zhttps://www.medicinauniversitaria.org/frame_esp.php?id=151https://doaj.org/toc/1665-5796https://doaj.org/toc/2530-0709Introduction: 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. Carlos G. SeañezJesus A. MoralesValeria GonzálezLuis F. CheccaAngel R. Martínez-Ponce de LeónPermanyerarticleMultiple dural arteriovenous fistulae. SARS-CoV-2. Dural venous sinuses. Cortical veins.Medicine (General)R5-920ENESMedicina Universitaria, Vol 23, Iss 4 (2021)
institution DOAJ
collection DOAJ
language EN
ES
topic Multiple dural arteriovenous fistulae. SARS-CoV-2. Dural venous sinuses. Cortical veins.
Medicine (General)
R5-920
spellingShingle Multiple dural arteriovenous fistulae. SARS-CoV-2. Dural venous sinuses. Cortical veins.
Medicine (General)
R5-920
Carlos G. Seañez
Jesus A. Morales
Valeria González
Luis F. Checca
Angel R. Martínez-Ponce de León
Multiple dural arteriovenous fistulae and SARS CoV-2, a lethal combination
description 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.
format article
author Carlos G. Seañez
Jesus A. Morales
Valeria González
Luis F. Checca
Angel R. Martínez-Ponce de León
author_facet Carlos G. Seañez
Jesus A. Morales
Valeria González
Luis F. Checca
Angel R. Martínez-Ponce de León
author_sort Carlos G. Seañez
title Multiple dural arteriovenous fistulae and SARS CoV-2, a lethal combination
title_short Multiple dural arteriovenous fistulae and SARS CoV-2, a lethal combination
title_full Multiple dural arteriovenous fistulae and SARS CoV-2, a lethal combination
title_fullStr Multiple dural arteriovenous fistulae and SARS CoV-2, a lethal combination
title_full_unstemmed Multiple dural arteriovenous fistulae and SARS CoV-2, a lethal combination
title_sort multiple dural arteriovenous fistulae and sars cov-2, a lethal combination
publisher Permanyer
publishDate 2021
url https://doaj.org/article/3634e677793c4022b06582262b7ae6aa
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