https://scholars.lib.ntu.edu.tw/handle/123456789/590477
標題: | Diagnosis and management of intracranial dural arteriovenous fistulas | 作者: | LI-KAI TSAI HON-MAN LIU JIANN-SHING JENG |
公開日期: | 2016 | 卷: | 16 | 期: | 3 | 起(迄)頁: | 307-318 | 來源出版物: | Expert Review of Neurotherapeutics | 摘要: | Dural arteriovenous fistula (DAVF) is a rare type of acquired intracranial vascular malformation. Recent progress in neuroimaging technology, such as advanced MRI and CT, provides non-invasive methods to accurately diagnose DAVF, including evaluation of the hemodynamics of the drainage veins. The clinical manifestations of DAVFs vary widely and depend on the location and venous drainage pattern of arteriovenous shunting. Patients with high grade DAVFs having cortical venous reflux should receive aggressive treatment to prevent the occurrence of intracranial hemorrhage and other neurological deficits related to venous congestion. Intra-arterial or intravenous endovascular embolization remains the primary therapy for high grade DAVF, while open surgery and stereotactic radiosurgery can serve as alternative treatment options. Early and accurate diagnosis with appropriate treatment is the goal for clinical management of DAVFs to reduce symptoms and prevent the development of venous congestion and stroke. ? 2016 Taylor & Francis. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84959479949&doi=10.1586%2f14737175.2016.1149063&partnerID=40&md5=6b8f44f6da56d10950b7b9cec9cb55f5 https://scholars.lib.ntu.edu.tw/handle/123456789/590477 |
ISSN: | 14737175 | DOI: | 10.1586/14737175.2016.1149063 | SDG/關鍵字: | artificial embolism; computer assisted tomography; digital subtraction angiography; disease classification; dural arteriovenous fistula; echography; endovascular embolization; human; nuclear magnetic resonance imaging; pathophysiology; Review; stereotactic radiosurgery; transarterial embolization; transvenous embolization; brain; Central Nervous System Vascular Malformations; neuroimaging; pathology; procedures; Brain; Central Nervous System Vascular Malformations; Humans; Neuroimaging |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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