DR. SHIVAM GANDHI

DR. VIRNA SHAH

Abstract

We present an uncommon case of a 38 years old male, who presented with headache and neck pain since 1 month, associated with vomiting. There was no history of trauma/ URTI/fever/ Covid- 19. His best corrected visual acuity was 6/6 in both eyes. Anterior segment and colour vision was normal in both eyes. Fundus examination revealed Grade 5 papilledema with RE superonasal field defect on HFA. Neuroimaging was suggestive of Dural AV fistula with venous reflux. Patient was then referred to an interventional radiologist. A diagnosis of Cognard type 2 A+ B Dural AV Fistula was made and subsequently treated by Endovascular Embolization of Dural AV fistula and its arterial feeders. On follow up (1 month), he was symptomatically better with resolving Papilledema and visual field showed improvement. Dural AV fistulas are arteriovenous malformations of dural vessels which predispose to intracerebral haemorrhage and needs prompt diagnosis and appropriate management.