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J Neurol Surg A Cent Eur Neurosurg 2019; 80(02): 134-137
DOI: 10.1055/s-0038-1670636
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Lhermitte-Duclos Disease with Cervical Arteriovenous Fistula

Abdulaziz Oqalaa Almubarak
1   Division of Neurosurgery, Department of Neurosciences, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
3   Neuroscience Department, Prince Mohammed Medical City, Jouf, Saudi Arabia
,
Anwar Ul Haq
1   Division of Neurosurgery, Department of Neurosciences, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
,
Ibrahim Alzahrani
1   Division of Neurosurgery, Department of Neurosciences, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
,
Essam Al Shail
1   Division of Neurosurgery, Department of Neurosciences, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
2   College of Medicine, Alfaisal University, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
› Author Affiliations
Further Information

Publication History

28 June 2018

31 July 2018

Publication Date:
05 December 2018 (online)

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Abstract

Lhermitte-Duclos disease is a rare condition with less than 250 cases reported in the literature. It was considered a neoplastic or hamartomatous growth in the cerebellum. It commonly presents with symptoms of high intracranial pressure or obstructive hydrocephalus. Surgical resection is often curative. The lesion is associated with PTEN gene mutation, and it is considered to be one of the diagnostic criteria of Cowden's syndrome. Vascular tumors are reported in this syndrome, including glioblastomas and meningiomas. Furthermore, central nervous system vascular lesions were also reported in Lhermitte-Duclos disease, such as deep venous anomalies and brain arteriovenous fistulas. A report of an asymptomatic spinal cervical AVF in a patient with Lhermitte-Duclos disease was published in 2006. We present the second case of Lhermitte-Duclos disease associated with an asymptomatic spinal cervical AVF in a 17-year-old young woman with literature review of central nervous system vascular lesions in Lhermitte-Duclos disease.

Keywords

Lhermitte-Duclos - arteriovenous fistula - PTEN - Cowden's syndrome - vascular malformation
 

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