Advertisement

Embryological Consideration of Dural AVF

  • Michihiro TanakaEmail author
Chapter
Part of the Acta Neurochirurgica Supplement book series (NEUROCHIRURGICA, volume 123)

Abstract

Background

The distribution of intracranial dural AVFs (DAVFs) may be affected by the embryological bony structures that consist of membranous bone and endochondral bone.

Methods

We retrospectively analyzed the distribution of the shunt points in 58 consecutive cases of DAVFs. Shunt points were identified with selective digital subtraction angiography, high-resolution cone beam computed tomography (CT), or three-dimensional rotation angiography. All the shunt points were plotted on the map of the skull base in relation to the topography of the endochondral bone and the membranous bone. If the shunt point was localized on the surface of endochondral bone, this was categorized as the endochondral bone group. If it was located on membranous bone, this was categorized as the membranous bone group. If the shunt point was independent from both bony structures, this was categorized as the independent group.

Findings

In 55 of 58 cases, shunt points were identified angiographically. Three cases had multiple shunts. There were 33 shunt points (60 %) belonging to endochondral bone. In this group, 16 cases of sigmoid, 11 of carotid cavernous, 3 of petrosal apex, and 3 of sigmoid DAVF were observed. There were 12 shunt points (22 %) localized on membranous bone; in this group, there were nine cases of transverse sinus, two of superior sagittal sinus, and one case of confluence DAVF. There were ten shunt points (18 %) independent from these two bony structures: four cases of olfactory groove, four . of middle fossa, and two of hypoglossal canal DAVF.

Conclusions

There were correlations between the localization of shunt points of DAVFs and the topography of endochondral bone and the membranous bone. The histological difference of endochondral bone and membranous bone at the level of epidural space might cause the formation of DAVFs.

Keywords

Dural AVF Embryological bony structure Membranous bone Endochondral bone Segmental vulnerability of dural membrane 

Abbreviations

CT

Computed tomography

DAVF

Dural AVF

Notes

Conflict of Interest

The author has no conflict of interest and there is no ethical problem with regard to this manuscript.

References

  1. 1.
    Agid R, ter Brugge K, Rodesch G, Andersson T, Söderman M (2009) Management strategies for anterior cranial fossa (ethmoidal) dural arteriovenous fistulas with an emphasis on endovascular treatment. J Neurosurg 110:79–84CrossRefPubMedGoogle Scholar
  2. 2.
    Aurboonyawat T, Pereira V, Krings T, Toulgoat F, Chiewvit P, Lasjaunias P (2008) Patterns of the cranial venous system from the comparative anatomy in vertebrates. Part III. The ventricular system and comparative anatomy of the venous outlet of spinal cord and its homology with the five brain vesicles. Interv Neuroradiol 14:125–136PubMedPubMedCentralGoogle Scholar
  3. 3.
    Aurboonyawat T, Suthipongchai S, Pereira V, Ozanne A, Lasjaunias P (2007) Patterns of cranial venous system from the comparative anatomy in vertebrates. Part I, introduction and the dorsal venous system. Interv Neuroradiol 13:335–344PubMedGoogle Scholar
  4. 4.
    Awad IA, Little JR, Akarawi WP, Ahl J (1990) Intracranial dural arteriovenous malformations: factors predisposing to an aggressive neurological course. J Neurosurg 72:839–850CrossRefPubMedGoogle Scholar
  5. 5.
    Borden JA, Wu JK, Shucart WA (1995) A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg 82:166–179CrossRefPubMedGoogle Scholar
  6. 6.
    Cognard C, Casasco A, Toevi M, Houdart E, Chiras J, Merland JJ (1998) Dural arteriovenous fistulas as a cause of intracranial hypertension due to impairment of cranial venous outflow. J Neurol Neurosurg Psychiatry 65:308–316, September 2006CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Cognard C, Gobin YP, Pierot L, Bailly AL, Houdart E, Casasco A, Chiras J, Merland JJ (1995) Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology 194:671–680CrossRefPubMedGoogle Scholar
  8. 8.
    Djindjian R (1976) Super-selective arteriography of branches of the external carotid artery. Surg Neurol 5:133–142PubMedGoogle Scholar
  9. 9.
    Ernst R, Bulas R, Tomsick T, Van Loveren H, Aziz KA (1999) Three cases of dural arteriovenous fistula of the anterior condylar vein within the hypoglossal canal. Am J Neuroradiol 20(December 1999):2016–2020PubMedGoogle Scholar
  10. 10.
    Farb RI, Agid R, Willinsky RA, Johnstone DM, TerBrugge KG (2009) Cranial dural arteriovenous fistula: diagnosis and classification with time-resolved MR angiography at 3T. Am J Neuroradiol 30:1546–1551CrossRefPubMedGoogle Scholar
  11. 11.
    Friede H (1981) Normal development and growth of the human neurocranium and cranial base. Scand J Plast Reconstr Surg 15:163–169CrossRefPubMedGoogle Scholar
  12. 12.
    Gaupp E (1906) Die Entwicklung des Kopfskelettes. Handb der Vergleichenden und Exp Entwicklungslehre der Wirbeltiere; Bd 3(2). 3(2):573–874Google Scholar
  13. 13.
    Geibprasert S, Pereira V, Krings T, Jiarakongmun P, Toulgoat F, Pongpech S, Lasjaunias P (2008) Dural arteriovenous shunts: a new classification of craniospinal epidural venous anatomical bases and clinical correlations. Stroke 39(10):2783–2794CrossRefPubMedGoogle Scholar
  14. 14.
    Gray H (1918) Anatomy of the human body. In: Lewis WH (ed) Anat. hum. body, 20th edn. Lea and Febiger, Philadelphia, p 85Google Scholar
  15. 15.
    Hirasawa T, Kuratani S (2015) Evolution of the vertebrate skeleton: morphology, embryology, and development. Zool Lett 1(2):1–17Google Scholar
  16. 16.
    Kim MS, Han DH, Han MH, Oh C-W (2003) Posterior fossa hemorrhage caused by dural arteriovenous fistula: case reports. Surg Neurol 59:512–516, discussion 516–517CrossRefPubMedGoogle Scholar
  17. 17.
    Kim DJ, Willinsky R, Geibprasert S, Krings T, Wallace C, Gentili F, Terbrugge K (2010) Angiographic characteristics and treatment of cervical spinal dural arteriovenous shunts. AJNR Am J Neuroradiol 31(8):1512–1515CrossRefPubMedGoogle Scholar
  18. 18.
    Labrom RD (2007) Growth and maturation of the spine from birth to adolescence. J Bone Joint Surg Am 89(Suppl 1):3–7CrossRefPubMedGoogle Scholar
  19. 19.
    Lasjaunias P, Chiu M, ter Brugge K, Tolia A, Hurth M, Bernstein M (1986) Neurological manifestations of intracranial dural arteriovenous malformations. J Neurosurg 64:724–730CrossRefPubMedGoogle Scholar
  20. 20.
    Lekkhong E, Pongpech S, Ter Brugge K, Jiarakongmun P, Willinsky R, Geibprasert S, Krings T (2011) Transvenous embolization of intracranial dural arteriovenous shunts through occluded venous segments: experience in 51 patients. Am J Neuroradiol 32:1738–1744CrossRefPubMedGoogle Scholar
  21. 21.
    Mitsuhashi Y, Aurboonyawat T, Pereira VM, Geibprasert S, Toulgoat F, Ozanne A, Lasjaunias P (2009) Dural arteriovenous fistulas draining into the petrosal vein or bridging vein of the medulla: possible homologs of spinal dural arteriovenous fistulas. Clinical article. J Neurosurg 111(November):889–899CrossRefPubMedGoogle Scholar
  22. 22.
    Opperman LA (2000) Cranial sutures as intramembranous bone growth sites. Dev Dyn 219:472–485CrossRefPubMedGoogle Scholar
  23. 23.
    Wilson DB (1980) Embryonic development of the head and neck: part 5, the brain and cranium. Head Neck Surg 2:312–320CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of NeurosurgeryKameda Medical CenterKamogawa CityJapan

Personalised recommendations