Dural Cavernous Sinus Fistulas

Diagnostic and Endovascular Therapy

  • Goetz Benndorf

Part of the Medical Radiology book series (MEDRAD)

Table of contents

  1. Front Matter
    Pages I-XIV
  2. Goetz Benndorf
    Pages 1-2
  3. Goetz Benndorf
    Pages 3-13
  4. Goetz Benndorf
    Pages 97-188
  5. Goetz Benndorf
    Pages 189-275
  6. Goetz Benndorf
    Pages 277-292
  7. Goetz Benndorf
    Pages 293-307
  8. Goetz Benndorf
    Pages 309-311
  9. Back Matter
    Pages 313-319

About this book

Introduction

Dural cavernous sinus fistulas (DCSFs) represent a benign vascular disease, consisting in an arteriovenous shunt at the cavernous sinus. In the absence of spontaneous resolution, the fistula may lead to eye redness, swelling, proptosis, chemosis, ophthalmoplegia and visual loss. Although modern imaging techniques have improved the diagnostic, patients with low-flow DCSFs are still misdiagnosed. These patients can get erroneously treated for infections and inflammation for months or years and are at risk of visual loss. Early and proper diagnosis helps to avoid deleterious clinical course of the disease. This volume provides a complete guide to clinical and radiological diagnosis as well as to therapeutic management of DCSF with emphasis on modern minimal invasive treatment options. It commences with an informative description of relevant anatomy. After sections on the classification, etiology and pathogenesis of DCSF, the clinical symptomatology of the disease is described in detail. The role of modern non-invasive imaging tools is then addressed with the use of computed tomography, magnetic resonance imaging and ultrasound. Intra-arterial digital subtraction angiography (DSA), although invasive, remains the gold standard and is mandatory for clinical decision-making and strategy in endovascular treatment. Hence, a throughout consideration is given to both, 2D-DSA and 3D rotational angiography, including recent technological advancements such as Dual Volume (DV) imaging and angiographic computed tomography (ACT). After a short section on arteriovenous hemodynamics, the therapeutic management of DCSFs is described in detail. In particular, various transvenous techniques, required for successful endovascular occlusion of DCSF, are discussed in depth. This well-illustrated volume will be invaluable to all who may encounter DCSF in their clinical practice.

Keywords

HNO cavernous sinus classification computed tomography (CT) diagnosis dural arteriovenous fistula embolization endovascular therapy transvenous occlusion ultrasound

Authors and affiliations

  • Goetz Benndorf
    • 1
  1. 1.Department of Radiology Baylor College of MedicineBen Taub General HospitalHoustonUSA

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-540-68889-1
  • Copyright Information Springer-Verlag Berlin Heidelberg 2010
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Medicine
  • Print ISBN 978-3-540-00818-7
  • Online ISBN 978-3-540-68889-1
  • Series Print ISSN 0942-5373
  • About this book