Surgical management of cerebral dural arteriovenous fistulae

Document Type

Article

Abstract

Dural arteriovenous fistulae are high flow, low resistance intracranial vascular malformations defined by an aberrant connection between an artery and dural vein or sinus. Symptomatology and presentation are highly dependent on location, generally categorized as supratentorial, tentorial, or infratentorial, and consist primarily of sequelae secondary to local venous hypertension, insufficiency, and cortical venous reflux. Surgery is generally reserved for high risk or persistently symptomatic lesions that are unamenable or unresponsive to endovascular therapy. For surgical lesions, familiarity with skull base approaches, specific fistula anatomy, and technical nuances based on fistula location offer patients the best chance of a favorable outcome.

Publication Date

1-1-2017

Publication Title

Handbook of Clinical Neurology

ISSN

00729752

E-ISSN

22124152

Volume

143

First Page

107

Last Page

116

PubMed ID

28552132

Digital Object Identifier (DOI)

10.1016/B978-0-444-63640-9.00010-2

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