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Neurosurgery for Cranial Dural Arteriovenous Fistulas

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Abstract

Dural arteriovenous fistulae (DAVFs) are a subset of vascular lesions comprising 10–15 % of all cerebral vascular malformations. They are high-flow, low-resistance connections between a dural artery (or arteries) and a venous sinus or cortical vein. The fistulae lead to venous hypertension, creating ischemic conditions that can trigger a cascade of angiogenesis encouraging fistulous development in a vicious cycle.

Cortical venous drainage of DAVFs increases their risk of hemorrhage or leads to nonhemorrhagic neurological deficits and necessitates treatment. DAVFs are treated most commonly through endovascular approaches, but some lesions are better treated with open surgical disconnection.

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Abbreviations

Angiogenesis:

The process through which new blood vessels form from preexisting vessels.

Dural arteriovenous fistula:

Pathological connection directly between a dural artery (or arteries) and a venous sinus or cortical vein.

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Further Readings

  • Berenstein A, Lasjaunias P, Ter Brugge K (2001) Surgical neuroangiography. Springer, Berlin

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  1. Department of Neurological Surgery, University of California, 505 Parnassus Avenue, M780, Post Box 0112, San Francisco, USA

    Cameron M. McDougall M.D. & Michael T. Lawton M.D.

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  1. Cameron M. McDougall M.D.
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  2. Michael T. Lawton M.D.
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Correspondence to Cameron M. McDougall M.D. .

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  1. Akademisches Lehrkrankenhaus MLU, Bitterfeld-Wolfen, Germany

    Peter Lanzer

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McDougall, C.M., Lawton, M.T. (2016). Neurosurgery for Cranial Dural Arteriovenous Fistulas . In: Lanzer, P. (eds) PanVascular Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37393-0_105-2

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    27 June 2016

    DOI: https://doi.org/10.1007/978-3-642-37393-0_105-2

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