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Igor Pagiola presents the case of a 57-year-old woman who experienced a sudden onset of headaches, without any other symptoms. Imaging revealed a hematoma in the right parietal lobe, accompanied by significant surrounding edema. Further evaluation using DSA (ICA and ECA views) identified a dural arteriovenous fistula originating from the occipital artery. The surgical team opted for arterial access using a guiding catheter.
Discover the full management strategy and patient outcomes in this compelling case.