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Spontaneous closure of dural arterio-venous fistula

Sir,

Dural arteriovenous fistulas (DAVFs) account for 10-15% of the intracranial arteriovenous malformations. Though a subgroup of DAVFs has been reported to have a benign course complete spontaneous disappearance of DAVFs is uncommon.

A 25-year-old male presented to us with history of headache and pulsatile tinnitus for three months with no deficits on neurological examination. Digital subtraction angiography (DSA) showed a Borden Type II DAVF with no venous ectasia [Figure 1]. In view of the symptomatic nature of the lesion with Type II DAVF, the patient was planned for embolization by a transarterial route. He was, however, lost to follow-up and came back after one year of diagnosis with ...

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