Dural Arteriovenous Fistulae: Imaging and Management

Yafell Serulle; Timothy R Miller; Dheeraj Gandhi

doi:10.1016/j.nic.2015.12.003

Dural Arteriovenous Fistulae: Imaging and Management

Neuroimaging Clin N Am. 2016 May;26(2):247-58. doi: 10.1016/j.nic.2015.12.003. Epub 2016 Feb 28.

Authors

Yafell Serulle¹, Timothy R Miller¹, Dheeraj Gandhi²

Affiliations

¹ Division of Interventional Neuroradiology, Department of Diagnostic Radiology, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD, USA.
² Division of Interventional Neuroradiology, Department of Diagnostic Radiology, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD, USA; Departments of Radiology, Neurology and Neurosurgery, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA. Electronic address: dgandhi@umm.edu.

PMID: 27154607
DOI: 10.1016/j.nic.2015.12.003

Abstract

Intracranial dural arteriovenous fistulae (DAVF) are pathologic arteriovenous shunts between meningeal arteries and dural venous sinuses or veins. They account for approximately 10% to 15% of all intracranial vascular malformations and are most common in middle-aged patients. DAVF are the most common vascular cause of pulsatile tinnitus. Digital subtraction angiography remains the gold standard for diagnosing these lesions. The pattern of venous drainage determines the type of DAVF and their risk for hemorrhage. Endovascular treatment has become a first-line option for their management. This article describes the natural history, clinical presentation, classification, imaging features, and management options of intracranial DAVF.

Keywords: Angiography; Dural arteriovenous fistula; Endovascular embolization; Tinnitus.

Publication types

Review

MeSH terms

Angiography, Digital Subtraction / methods
Central Nervous System Vascular Malformations / diagnostic imaging*
Central Nervous System Vascular Malformations / surgery*
Cerebral Angiography / methods*
Endovascular Procedures / methods*
Humans