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July 2010

An Intracranial Dural Arteriovenous Fistula Found During a Dermatologic Examination

Author Affiliations

Author Affiliations: Department of Dermatology, Boston Medical Center, Boston, Massachusetts (Dr Yu); and Departments of Neurosurgery (Drs Wu and Malek), and Dermatology and Dermatologic Surgery, Tufts Medical Center (Drs Yu and Finn), Tufts University School of Medicine (Dr Finn), Boston.

Arch Dermatol. 2010;146(7):808-810. doi:10.1001/archdermatol.2010.144

A 73-year-old healthy white man was seen with a 2.8 × 1.5-cm pearly plaque on the left postauricular region. A shave biopsy specimen revealed a basal cell carcinoma, which was treated successfully with Mohs micrographic surgery. All other cutaneous examination findings were unremarkable except for a soft, pulsating mass measuring approximately 4 cm on the scalp vertex (Figure 1A). A bruit could be heard on direct auscultation. The patient denied a history of trauma to the area and denied any neurologic, vision, or hearing disturbances.

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