AJDRAJNR - American Journal of Neuroradiology

This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by van Rooij, W.J.
Right arrow Articles by Beute, G.N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by van Rooij, W.J.
Right arrow Articles by Beute, G.N.

American Journal of Neuroradiology 28:651-655, April 2007
© 2007 American Society of Neuroradiology

INTERVENTIONAL

Dural Arteriovenous Fistulas with Cortical Venous Drainage: Incidence, Clinical Presentation, and Treatment

W.J. van Rooija, M. Sluzewskia and G.N. Beuteb

a Department of Radiology, St. Elisabeth Ziekenhuis, Tilburg, the Netherlands
b Department of Neurosurgery, St. Elisabeth Ziekenhuis, Tilburg, the Netherlands

Please address correspondence to W.J. van Rooij, MD, PhD, Department of Radiology, St. Elisabeth Ziekenhuis, Tilburg, the Netherlands; e-mail: radiol{at}knmg.nl

BACKGROUND AND PURPOSE: Our purpose was to report our experience with intracranial dural arteriovenous fistulas (DAVFs) with cortical venous drainage during a 12-year period.

PATIENTS AND METHODS: Between January 1994 and January 2006, 91 patients with intracranial DAVFs presented at our institution, and 29 (32%) had cortical venous drainage. There were 5 women and 24 men (mean age, 53.9 years; range, 24–77). Clinical presentation was intraparenchymal or subarachnoid hemorrhage in 18 patients (62%), seizures in 4 patients (14%), visual symptoms in 2 patients (7%), pulsatile bruit in 1 patient (3%), and the DAVF (14%) was incidentally discovered in 4 patients.

RESULTS: In 2 patients, the DAVF had been obliterated spontaneously at the time of scheduled embolization 10 and 2 months after hemorrhage, respectively. Five patients with an anterior fossa DAVF underwent successful surgery. In 14 patients, the DAVF was completely occluded with embolization alone, and in 7 patients, embolization was followed by surgery. Altogether, complete occlusion was angiographically confirmed in 28 of 29 DAVFs; the result of radiosurgery of 1 DAVF is pending. There were no complications of surgery; embolization was complicated by postembolization hemorrhage in 1 patient (3%).

CONCLUSION: Most DAVFs with cortical venous drainage have an aggressive clinical course. Treatment by a neurovascular team by using surgery, embolization, or a combination resulted in cure in all cases, with a very low complication rate.




This article has been cited by other articles:


Home page
 PNHome page
M Wilson, P Enevoldson, and B Menezes
Intracranial dural arterio-venous fistula
Practical Neurology, December 1, 2008; 8(6): 362 - 369.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
M. Soderman, L. Pavic, G. Edner, S. Holmin, and T. Andersson
Natural History of Dural Arteriovenous Shunts
Stroke, June 1, 2008; 39(6): 1735 - 1739.
[Abstract] [Full Text] [PDF]


Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X