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https://www.readbyqxmd.com/read/29025963/sacral-dural-arteriovenous-fistulas-a-diagnostic-and-therapeutic-challenge-single-centre-experience-of-13-cases-and-review-of-the-literature
#1
Andrea Gioppo, Giuseppe Faragò, Caterina Giannitto, Luigi Caputi, Andrea Saladino, Francesco Acerbi, Elisa Ciceri
BACKGROUND: Sacral dural arteriovenous fistulas (DAVFs) are rare vascular abnormalities of the spine characterised by slowly progressive symptoms that can mimic different myelopathy disorders. OBJECT: To report our single Institution experience with sacral DAVFs. METHODS: We retrospectively reviewed the clinical records of patients admitted from 1 January 2006 to 31 December 2016 with a diagnosis of sacral DAVFs, treated by endovascular embolisation or surgical clipping...
October 12, 2017: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/29021312/incompletely-obliterated-cranial-arteriovenous-fistulae-are-safely-and-effectively-treated-with-adjuvant-%C3%AE%C2%B5-aminocaproic-acid
#2
Brian M Howard, Jonathan A Grossberg, Adam Prater, C Michael Cawley, Jacques E Dion, Frank C Tong
BACKGROUND: Administration of ε-aminocaproic acid (εACA), as adjuvant therapy following incompletely embolized cranial dural arteriovenous (dAVFs) and direct carotid artery to cavernous sinus fistulae (CCFs), is a strategy to promote post-procedural thrombosis. However, the efficacy of εACA to treat incompletely obliterated dAVFs and CCFs has not been published. The purpose of this study was to determine if administration of εACA following incomplete embolization of cranial dAVFs or CCFs was associated with an increased likelihood of cure on follow-up imaging compared with patients not given adjuvant εACA...
October 11, 2017: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/28975855/treatment-of-cranial-dural-arteriovenous-fistulas-with-exclusive-cortical-venous-drainage-a-single-center-cohort-of-35-patients
#3
H G Kortman, G Bloemsma, I Boukrab, J P Peluso, M Sluzewski, B van der Pol, G N Beute, C B Majoie, W J van Rooij
Background and purpose Dural arteriovenous fistulas (DAVFs) with cortical venous drainage often present with hemorrhage or neurological deficits and prompt treatment is indicated. Disconnection of the draining vein is considered curative. We present the multimodality treatment results of 35 patients with cranial DAVFs with exclusive cortical venous drainage. Materials and methods Between January 2010 and January 2017, 35 consecutive patients with cranial dural fistulas with exclusive cortical venous drainage were treated...
January 1, 2017: Interventional Neuroradiology
https://www.readbyqxmd.com/read/28973401/three-dimensional-endoscopic-magnification-for-treatment-of-thoracic-spinal-dural-arteriovenous-fistulas-technical-note
#4
Alexander G Weil, Sami Obaid, Chiraz Chaalala, Daniel Shedid, Elsa Magro, Romuald Seizeur, Michel W Bojanowski
BACKGROUND: Treatment of thoracic spinal dural arteriovenous fistulas (DAVFs) by microsurgery has recently been approached using minimally invasive spine surgery (MISS). The advantages of such an approach are offset by difficult maneuverability within the tubular retractor and by the creation of "tunnel vision" with reduced luminosity to a remote surgical target. OBJECTIVE: To demonstrate how the pitfalls of MISS can be addressed by applying 3-D endoscopy to the minimally invasive approach of spinal DAVFs...
July 25, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28966151/the-long-and-winding-road-thoracic-myelopathy-associated-with-occipitocervical-davf
#5
Angelique Sao-Mai Do, Joseph Kapurch, Ravi Kumar, John Port, Jeffrey W Miller, Jamie J Van Gompel
Spinal DAVFs have diverse presentations. MRIs reveal spinal cord swelling in only 45-74%. We present an unusual case of a 57 yo male with a craniocervical junction DAVFs in which the edema appeared in the thoracolumbar region skipping the cervical spinal cord. A case report and literature review from a tertiary referral center. In our patient, symptoms progressed over 3 months from low back and radicular pain to weakness, saddle anesthesia, and urinary retention. MRI showed T2 hyperintensity from T3-4 to the conus medullaris (Fig 1 a,b)...
September 28, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28955516/dementia-and-parkinsonism-a-rare-presentation-of-intracranial-dural-arteriovenous-fistulae
#6
Manoj Gopinath, Chinmay Nagesh, K Santhosh, E R Jayadevan
Intracranial dural arteriovenous fistulae (DAVF) are acquired fistulous communications between dural arterial branches and dural venous sinuses or cortical veins with the nidus located within the leaflets of the duramater. Dementia and Parkinsonism are amongst the rarest of clinical presentations in DAVFs and are important to diagnose early, being treatable with timely intervention. We present an interesting case of a patient who presented with rapidly progressive dementia and features of parkinsonism who was diagnosed to have extensive DAVF and made remarkable recovery after embolization of the fistulae...
September 2017: Neurointervention
https://www.readbyqxmd.com/read/28951386/development-of-an-intracranial-dural-arteriovenous-fistula-after-venous-sinus-stenting-for-idiopathic-intracranial-hypertension
#7
Thomas J Buell, Daniel M Raper, Dale Ding, Ching-Jen Chen, Kenneth C Liu
We report a case in which an intracranial dural arteriovenous fistula (DAVF) developed after endovascular treatment of a patient with idiopathic intracranial hypertension with venous sinus stenting (VSS). The pathogenesis may involve hemodynamic alterations secondary to increased poststenting venous sinus pressure, which may cause new arterial ingrowth into the fistulous sinus wall without capillary interposition. Despite administration of dual antiplatelet therapy, there may also be subclinical cortical vein thrombosis that contributed to DAVF formation...
September 26, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942629/multiple-dural-arteriovenous-fistulas-presenting-as-pulsatile-tinnitus-treated-with-external-manual-compression
#8
Se-Joon Oh, Yong-Il Chon, Soo-Keun Kong, Eui-Kyung Goh
Dural arteriovenous fistula (DAVF) have been treated by transarterial or transvenous embolization, surgery, and radiosurgery. Besides these treatment options, the external compression technique is a non-invasive, low-cost form of treatment. This article reports that a 60-year-old man with DAVF between multiple arterial branches and transverse/sigmoid sinus was treated by repeated external manual compression method.
September 2017: Journal of Audiology & Otology
https://www.readbyqxmd.com/read/28932918/long-term-outcome-after-endovascular-treatment-of-cavernous-sinus-dural-arteriovenous-fistula-and-a-literature-review
#9
Yosuke Nishimuta, Ryuji Awa, Sei Sugata, Tetsuya Nagayama, Tsuneo Makiuchi, Tetsuzo Tomosugi, Ryosuke Hanaya, Hiroshi Tokimura, Hirofumi Hirano, F M Moinuddin, Muhammad Kamil, Akari Kibe, Kazunori Arita
BACKGROUND: The long-term efficacy of endovascular treatment (EVT) for cavernous sinus dural arteriovenous fistulae (CS-dAVF) was assessed with a special focus on residual shunts after initial EVT. PATIENTS AND METHODS: This retrospective survey included 50 patients who had undergone EVT and were followed for 1 month or longer (median follow-up 56 months). RESULTS: Common preoperative symptoms were chemosis (78%), extra-ocular motor palsy (72%), exophthalmos (66%), and tinnitus (26%)...
September 20, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28918792/-dural-arteriovenous-fistula-is-a-rare-but-treatable-cause-of-transverse-myelitis
#10
Julie Richter Hansen, Lars Poulsgaard, Markus Holtmannspötter, Joan Højgaard, Peer Tfeldt-Hansen
This is a case report of a 60-year-old male admitted on suspicion of relapse of idiopathic transverse myelitis (TM), who after further diagnostic workup underwent successful closure of a dural arteriovenous fistula (DAVF). Magnetic resonance imaging in DAVF usually shows longitudinal TM, which, unlike DAVF, is also seen with the more common inflammatory or infectious causes usually showing inflammation in the cerebrospinal fluid. The natural history of DAVF is progressive. Since curable options exist, timely diagnosis is most important...
September 18, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28917703/distally-enlarged-feeding-artery-phenomenon-in-intracranial-dural-arteriovenous-fistula-alternative-access-route-to-transarterial-intravenous-embolization-dong
#11
Hyun Shim, Jieun Roh, Jeong A Yeom, Young Soo Kim, Seung Kug Baik
BACKGROUND: Transvenous (TV) embolization is ideal for endovascular treatment of intracranial dural arteriovenous fistulas (DAVF). However, it is not always feasible because of various factors, and transarterial (TA) embolization could then be tried. We aimed to determine the incidence of 'distally enlarged feeding artery phenomenon' and the major feeding artery in DAVF. In case TV approach is difficult and this phenomenon observed, we could use this vessel for transarterial intravenous (TAIV) embolization as an endovascular treatment modality for DAVF...
September 13, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28882716/remote-thoracic-myelopathy-from-a-spinal-dural-arteriovenous-fistula-at-the-cranio-cervical-junction-case-report-and-review-of-literature
#12
Michael J Lang, Stavropoula Tjoumakaris, Robert H Rosenwasser, Pascal Jabbour
BACKGROUND: The cranio-cervical junction is a rare location for spinal dural arteriovenous fistulas (dAVF). Typically, fistulas at this location present with findings related to intracranial cortical venous reflux or with cervical myelopathy. We present a case of cranio-cervical junction dAVF with isolated clinical and radiographic findings of thoracolumbar myelopathy. CASE DESCRIPTION: A 54 year-old male presented with subacute onset of lower extremity weakness, paresthesias and gait dysfunction...
September 4, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28859024/spontaneous-resolution-of-venous-aneurysms-after-transarterial-embolization-of-a-variant-superior-sagittal-sinus-dural-arteriovenous-fistula-case-report-and-literature-review
#13
Weizheng Song, Hong Sun, Jin Liu, Li Liu, Jia Liu
We present a rare case of dural arteriovenous fistula (DAVF) with subarachnoid hemorrhage and intraventricular hemorrhage due to its venous aneurysms. A 63-year-old woman was admitted for a sudden loss of consciousness. Computed tomography angiograph, magnetic resonance imaging angiography, and digital subtraction angiography revealed a superior sagittal sinus DAVF. The fistula was fed by the left middle meningeal artery and left internal carotid artery, and was drained by a right vein of Trolard, the superficial Sylvian vein, deep Sylvian vein, and basal vein to the vein of Galen...
September 2017: Neurologist
https://www.readbyqxmd.com/read/28840082/the-potentiality-for-development-of-multiple-dural-arteriovenous-fistulas-after-ligation-of-the-internal-jugular-vein-a-case-report
#14
Hirotaka Fudaba, Takeshi Kubo, Makoto Goda, Kenji Sugita, Masaki Morishige, Kouhei Onishi, Keisuke Ishii, Mitsuhiro Anan, Yasuyuki Nagai, Minoru Fujiki
A 74-year-old male presented with an intracranial hemorrhage caused by multiple dural arteriovenous fistulas (DAVFs) in the left transverse sinus and right sigmoid sinus. Four months previously, the patient underwent tongue cancer removal with lymph node dissection and ligation of the right internal jugular vein. Endovascular embolization (transvenous and transarterial embolization) resulted in the complete disappearance of the fistulas. Follow-up angiography revealed new arteriovenous shunts at the superior sagittal sinus and right transverse sinus, and we treated the patient with staged transarterial embolization...
July 2017: NMC Case Rep J
https://www.readbyqxmd.com/read/28840068/a-case-of-symptomatic-spinal-dural-arteriovenous-fistula-after-high-volume-lumbar-puncture
#15
Thomas Noh, Rahul Chandra, Jimmy Kim, Ian Lee
BACKGROUND: Spinal dural arteriovenous fistulas (DAVFs) are rare lesions that lead to venous congestion and ischemic injury resulting in neurologic deterioration. Here we present a patient diagnosed with glioblastoma multiforme (GBM) who became symptomatic from a spinal DAVF after a diagnostic high-volume lumbar puncture (LP). CASE DESCRIPTION: When a 72-year-old female developed partial seizures in her left upper extremity without other focal neurological deficits, she underwent a magnetic resonance imaging (MRI) scan of the brain...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28830738/mastoid-epidermoid-tumor-and-associated-dural-arteriovenous-fistula-with-venous-sinus-occlusion
#16
Jang W Yoon, Youssef J Hamade, Ramon Navarro, Benjamin L Brown, Larry Lundy, Rabih G Tawk
BACKGROUND: Dural arteriovenous fistula (DAVF) is an abnormal vascular connection between arterial and venous channels within dura mater. Although DAVFs have been linked to other types of intracranial tumors, this is the first case reporting the association between DAVF and an epidermoid tumor. CASE DESCRIPTION: A middle-aged patient with chronic headache presented with Borden type II DAVF draining into the right transverse sigmoid junction and was also found to have an epidermoid tumor over the right mastoid...
August 19, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28826865/medial-tentorial-dural-arteriovenous-fistulae-embolization-single-experience-with-embolic-liquid-polymer-squid-and-review-of-the-literature
#17
Gioppo Andrea, Faragò Giuseppe, Caldiera Valentina, Caputi Luigi, Cusin Alberto, Ciceri Elisa
BACKGROUND: Tentorial dural arteriovenous fistulae (DAVF) are uncommon and complex fistulae located between the leaves of the tentorium cerebelli, with a specific anatomical and clinical presentation characterized by high hemorrhagic risk. We present a rare case of a medial tentorial DAVF successfully managed via a transarterial embolization utilizing Squid liquid polymer. CASE DESCRIPTION: A 60-year-old woman presented to our Institution with a history of left progressive hearing loss and tinnitus for over a year...
August 18, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28803169/stereotactic-radiosurgery-for-dural-arteriovenous-fistulas-without-cortical-venous-reflux
#18
Daniel A Tonetti, Bradley A Gross, Brian T Jankowitz, Kyle M Atcheson, Hideyuki Kano, Edward A Monaco, Ajay Niranjan, L Dade Lunsford
BACKGROUND: The rationale for treatment of dural arteriovenous fistulas (dAVF) without cortical venous reflux is symptomatic resolution. Most studies of dural arteriovenous fistula treatment, including those for stereotactic radiosurgery (SRS), have focused on angiographic obliteration instead of clinical symptomatic outcome. METHODS: The authors evaluated their institutional experience with SRS for cerebral dAVFs without cortical venous reflux from 1991 to 2016, evaluating angiographic and clinical outcomes, focusing on the course of pulsatile tinnitus and/or ocular symptoms after treatment...
August 9, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28801711/safety-of-onyx-transarterial-embolization-of-skull-base-dural-arteriovenous-fistulas-from-meningeal-branches-of-the-external-carotids-also-fed-by-meningeal-branches-of-internal-carotid-or-vertebral-arteries
#19
Thiago G Abud, Emmanuel Houdart, Jean-Pierre Saint-Maurice, Daniel G Abud, Carlos E Baccin, Andrew D Nguyen, Nitamar Abdala
PURPOSE: To analyze the angiographic and clinical results of transarterial embolization with Onyx (Medtronic-Covidien, Irvine, CA) in dural arteriovenous fistulas (DAVFs) partially fed by arteries arising from the carotid siphon or the vertebral arteries. METHODS: We isolated 40 DAVFs supplied by either the tentorial artery of the internal carotid artery (ICA) or the posterior meningeal artery of the vertebral artery. These DAVFs were embolized with Onyx through the middle meningeal artery or the occipital artery...
August 11, 2017: Clinical Neuroradiology
https://www.readbyqxmd.com/read/28790216/-a-case-of-tentorial-dural-arteriovenous-fistula-treated-with-transvenous-embolization-using-nbca
#20
Hirokazu Nishiyama, Hiroyuki Matsumoto, Yoshiaki Tetsuo, Hideki Takemoto, Naoyuki Nakao
We report a case of tentorial dural arteriovenous fistula(dAVF)treated with transarterial and transvenous embolization using n-butyl-2-cyanoacrylate(NBCA). A 70-year-old man presented with dysarthria and trunk ataxia. Computed tomography(CT)on admission revealed right cerebellar hemorrhage. Right external carotid angiography demonstrated a tentorial dAVF fed by the marginal tentorial artery, petrosquamous branch of the middle meningeal artery, ascending pharyngeal artery, and artery of foramen rotundum. Right internal carotid angiography demonstrated a shunt fed by the meningohypophyseal trunk...
August 2017: No Shinkei Geka. Neurological Surgery
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