Fístula por malformación arteriovenosa pial del surco angular izquierdo en paciente joven con cefalea

Abstract

Objective: To describe the case of a patient with pial arteriovenous fistula of the left angular groove, presenting headaches and hearing impairment, a neurological pathology difficult to diagnose, due to its presentation. Discussion: A case of a 25-year-old female patient is reported, initially presenting with a seizure accompanied by a headache that is difficult to control and hearing alterations. Neurocysticercosis was initially diagnosed with treatment for several years, despite which she continues to present recurrent headaches that are difficult to control despite analgesia, so more specific complementary tests are performed where the presence of a pial arteriovenous fistula is evidenced in the left angular groove. , for which surgical intervention and resolution of the clinical picture is performed. Materials and methods: A descriptive cross-sectional study based on clinical case analysis is carried out. Conclusions: The case studied is a rare form of presentation of pial arteriovenous fistulas, due to the age of the patient since it occurs in the first years of life or in childhood, for which a differential diagnosis is required with different pathologies that cause this symptomatology and support of imaging studies, once it has been diagnosed, we see that there is a specific treatment for this alteration, after which it presents an improvement in the clinical picture but not complete resolution.