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  • Title: [Two cases of cavernous sinus dural arteriovenous fistula presenting headache as the one and only initial symptom].
    Author: Ishizaki M, Inatomi Y, Yonehara T, Hashimoto Y, kai Y, Hirano T, Uchino M.
    Journal: Rinsho Shinkeigaku; 2006 Jul; 46(7):501-4. PubMed ID: 17061705.
    Abstract:
    We report 2 cases with cavernous sinus dural arteriovenous fistula (C-dAVF) presenting with headache as an initial symptom. A 70-year-old woman complained of acute persistent headache in the right temporal region. Another 74-year-old woman suffered from sudden and severe headache, developing from right-sided temporal throbbing to bilateral headache. Her condition was also complicated with cranial nerve deficits. These two patients were finally diagnosed as having C-dAVF based on the results of magnetic resonance angiography and cerebral angiography. It was difficult to make rapid diagnosis of C-dAVF in our patients, because they presented with headache alone but no typical symptoms of C-dAVF, such as proptosis, conjunctival injection or orbital bruit. C-dAVF should be considered as an important differential diagnosis in patients with headache.
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