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Acta Neurologica Belgica

, Volume 119, Issue 1, pp 5–14 | Cite as

Current status of endovascular treatment for dural arteriovenous fistulae in the tentorial middle region: a literature review

  • Dan Tong
  • Xuan Chen
  • Xianli Lv
  • Kailing Li
  • Kan Xu
  • Jinlu YuEmail author
Review Article

Abstract

The tentorial middle region (TMR) includes the midline and paramedian tentorium. TMR dural arteriovenous fistulae (DAVFs) are complex. We performed a review of the literature on TMR DAVFs. TMR DAVFs are divided into the following four types: incisural DAVF, Galenic DAVF, straight sinus DAVF and torcular DAVF. TMR DAVFs often drain into pial veins; therefore, most TMR DAVFs are classified as Borden II–III and Cognard types IIb–IV, whose characteristics cause TMR DAVFs to be prone to hemorrhage. TMR DAVFs have a very disappointing natural progression, and treatment is necessary. TMR DAVFs have extensive arterial supply and complex venous drainages, making them difficult to treat. Currently, for TMR DAVF, endovascular treatment (EVT) has become a better option. In EVT, transarterial embolization is the first-line treatment. Many complications can occur when treating TMR DAVFs, but complete EVT can generally achieve good clinical outcomes. In this review, three educational cases with demonstrating figures are provided to elaborate TMR DAVFs.

Keywords

Tentorial middle region Dural arteriovenous fistula Endovascular treatment Review 

Notes

Acknowledgements

We would like to acknowledge the reviewers for their helpful comments on this paper.

Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest.

Ethical approval

This work is a review of the literature and did not require ethical approval to be carried out.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Belgian Neurological Society 2018

Authors and Affiliations

  1. 1.Department of RadiologyThe First Hospital of Jilin UniversityChangchunChina
  2. 2.Department of NeurosurgeryThe First Hospital of Jilin UniversityChangchunChina
  3. 3.Department of Neurosurgery, Beijing Tsinghua Changgung HospitalTsinghua UniversityBeijingChina

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