Diagnosis and management of intracranial dural arteriovenous fistulas
Journal
Expert Review of Neurotherapeutics
Journal Volume
16
Journal Issue
3
Pages
307-318
Date Issued
2016
Author(s)
Abstract
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.
SDGs
Other Subjects
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
Type
review