{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T21:28:20Z","timestamp":1760909300288,"version":"3.44.0"},"reference-count":21,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,11,11]]},"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>Acquired unruptured dural arteriovenous fistulas (DAVFs) have been described; however, ruptured de novo DAVFs remain exceedingly rare. We describe the case of a man in his 40s who presented with a recurrent intraparenchymal haemorrhage several years after angiographic cure of an intracranial arteriovenous malformation (AVM). Repeat angiography identified a new Cognard type IV DAVF anterior to the prior craniotomy. He underwent preoperative embolisation followed by craniotomy to completely obliterate the fistulous point. This case illustrates the need for close monitoring of AVM patients, even after complete obliteration, as local recrudescence of arteriovenous shunting can occur even in adulthood.<\/jats:p>","DOI":"10.1136\/bcr-2021-246758","type":"journal-article","created":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T11:50:12Z","timestamp":1638964212000},"page":"e246758","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Rupture of a de novo dural AV fistula following adult cerebral AVM resection"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9164-4984","authenticated-orcid":false,"given":"Evan M","family":"Luther","sequence":"first","affiliation":[{"name":"Neurological Surgery, University of Miami School of Medicine, Miami, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatima","family":"Chagani","sequence":"additional","affiliation":[{"name":"Internal Medicine, University of Florida College of Medicine, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hunter","family":"King","sequence":"additional","affiliation":[{"name":"Neurological Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Starke","sequence":"additional","affiliation":[{"name":"Neurological Surgery, University of Miami School of Medicine, Miami, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,12,8]]},"reference":[{"key":"2025082703261380000_14.12.e246758.1","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/S0967-5868(02)00109-1","article-title":"Dural arteriovenous malformation occurring after craniotomy for pial arteriovenous malformation","volume":"10","author":"Ahn","year":"2003","journal-title":"J Clin Neurosci"},{"doi-asserted-by":"publisher","key":"2025082703261380000_14.12.e246758.2","DOI":"10.1136\/svn-2019-000269"},{"doi-asserted-by":"publisher","key":"2025082703261380000_14.12.e246758.3","DOI":"10.1136\/neurintsurg-2012-010318"},{"doi-asserted-by":"publisher","key":"2025082703261380000_14.12.e246758.4","DOI":"10.1007\/BF00327490"},{"key":"2025082703261380000_14.12.e246758.5","doi-asserted-by":"crossref","first-page":"604","DOI":"10.4103\/0976-3147.188631","article-title":"Iatrogenic dural arteriovenous fistula after surgical resection of a ruptured brain arteriovenous malformation","volume":"7","author":"Ding","year":"2016","journal-title":"J Neurosci Rural Pract"},{"key":"2025082703261380000_14.12.e246758.6","doi-asserted-by":"crossref","DOI":"10.3171\/jns.2002.97.1.0227","article-title":"Dural arteriovenous fistula after ventriculostomy. 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