Surgical management of cerebral dural arteriovenous fistulae

Martin J. Rutkowski, Brian Jian, Michael T. Lawton

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Scopus citations

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.

Original languageEnglish (US)
Title of host publicationHandbook of Clinical Neurology
PublisherElsevier B.V.
Pages107-116
Number of pages10
DOIs
StatePublished - Jan 1 2017
Externally publishedYes

Publication series

NameHandbook of Clinical Neurology
Volume143
ISSN (Print)0072-9752
ISSN (Electronic)2212-4152

Keywords

  • Arteriovenous
  • Dural
  • Fistula
  • Sinus
  • Skull base
  • Surgery

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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  • Cite this

    Rutkowski, M. J., Jian, B., & Lawton, M. T. (2017). Surgical management of cerebral dural arteriovenous fistulae. In Handbook of Clinical Neurology (pp. 107-116). (Handbook of Clinical Neurology; Vol. 143). Elsevier B.V.. https://doi.org/10.1016/B978-0-444-63640-9.00010-2