Arteriovenous fistula in the lung presenting with brain abscess: A report of two cases and a review of the literature

Nakamasa Hayashi, Tomoo Inoue, Shinjitsu Nishimura, Yoshihiro Numagami, Kensuke Murakami, Tadashi Imai, Michiharu Nishijima

    Research output: Contribution to journalReview articlepeer-review

    Abstract

    Two cases of arteriovenous fistula (AVF) in the lung presenting with brain abscess are reported. A 47-year-old male developed multiple brain abscesses. Diffusion weighted images (DWI) revealed strong high signal intensity. CT of the chest demonstrated an AVF in the lung. The brain abscesses were successfully treated with antibiotic therapy, and the AVF was resected. A 62-year-old female with asymptomatic AVF in the lung developed a brain abscess in the right temporal lobe, showing a strong high intensity on DWI. Since she presented with left hemiparesis 7 days after admission, the abscess was excised, and the AVF was embolized. Because even small and clinically silent AVF in the lungs may cause a brain abscess, we should perform a close examination of the lungs. Treatment of AVFs in the lungs is necessary to prevent the recurrence of a brain abscesses.

    Original languageEnglish
    Pages (from-to)523-527
    Number of pages5
    JournalJapanese Journal of Neurosurgery
    Volume15
    Issue number7
    DOIs
    Publication statusPublished - 2006 Jul

    Keywords

    • Arteriovenous fistula in the lung
    • Brain abscess
    • MRI

    ASJC Scopus subject areas

    • Surgery
    • Clinical Neurology

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