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Trends in the Management of Cerebrovascular Diseases pp 121–126Cite as

Falcotentorial Location of Dural Arteriovenous Fistulas Derived from the Neural Crest as a Risk Factor for Aggressive Clinical Course

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Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 129))

Abstract

The topographical distribution of dural arteriovenous fistulas (DAVFs) was analyzed based on the embryological anatomy of the dural membrane. Sixty-six consecutive cases of intracranial and spinal DAVFs were analyzed based on the angiography, and each shunt point was identified according to the embryological bony structures. The area of dural membranes was categorized into three different groups: a ventral group located on the endochondral bone (VE group), a dorsal group on the membranous bone (DM group), and a falcotentorial group (FT group) in the falx cerebri, tentorium cerebelli, falx cerebelli, and diaphragma sellae. The FT group was derived from the neural crest and designated when the dural membrane was formed only with the dura propria (meningeal layer of the dura mater) and not from the endosteal dura. Olfactory groove, falx, tent of the cerebellum, and nerve sleeve of spinal cord were categorized in the FT group, which presented later in life and which had a male predominance, more aggressive clinical presentations, and significant cortical and spinal venous reflux. The FT group was formed only with the dura propria that was considered as an independent risk factor for aggressive clinical course and hemorrhage of DAVFs.

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Abbreviations

CT:

Computed tomography

DAVFs:

Dural arteriovenous fistulas

DM group:

Dorsal membranous bone group

DSA:

Digital subtraction angiography

FT group:

Falcotentorial group

MRI:

Magnetic resonance imaging

VE group:

Ventral endochondral group

References

  1. Borden JA, Wu JK, Shucart WA. A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg. 1995;82:166–79.

    Article  CAS  Google Scholar 

  2. Cognard C, Casasco A, Toevi M, Houdart E, Chiras J, Merland JJ. Dural arteriovenous fistulas as a cause of intracranial hypertension due to impairment of cranial venous outflow. J Neurol Neurosurg Psychiatry. 1998;65:308–16.

    Article  CAS  Google Scholar 

  3. Cognard C, Gobin YP, Pierot L, Bailly AL, Houdart E, Casasco A, et al. Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology. 1995;194:671–80.

    Article  CAS  Google Scholar 

  4. Geibprasert S, Pereira V, Krings T, Jiarakongmun P, Toulgoat F, Pongpech S, et al. Dural arteriovenous shunts: a new classification of craniospinal epidural venous anatomical bases and clinical correlations. Stroke. 2008;39:2783–94.

    Article  Google Scholar 

  5. Agid R, Terbrugge K, Rodesch G, Andersson T, Söderman M. Management strategies for anterior cranial fossa (ethmoidal) dural arteriovenous fistulas with an emphasis on endovascular treatment. J Neurosurg. 2009;110:79–84.

    Article  Google Scholar 

  6. Aurboonyawat T, Suthipongchai S, Pereira V, Ozanne A, Lasjaunias P. Patterns of cranial venous system from the comparative anatomy in vertebrates. Part I, introduction and the dorsal venous system. Interv Neuroradiol. 2007;13:335–44.

    Article  CAS  Google Scholar 

  7. Aurboonyawat T, Pereira V, Krings T, Toulgoat F, Chiewvit P, Lasjaunias P. Patterns of the cranial venous system from the comparative anatomy invertebrates. 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. 2008;14:125–36.

    Article  CAS  Google Scholar 

  8. Awad IA, Little JR, Akarawi WP, Ahl J. Intracranial dural arteriovenous malformations: factors predisposing to an aggressive neurological course. J Neurosurg. 1990;72:839–50.

    Article  CAS  Google Scholar 

  9. Baltsavias G, Parthasarathi V, Aydin E, Al Schameri RA, Roth P, Valavanis A. Cranial dural arteriovenous shunts. Part 1. Anatomy and embryology of the bridging and emissary veins. Neurosurg Rev. 2014;38(2):253–64. https://doi.org/10.1007/s10143-014-0590-2.

    Article  PubMed  Google Scholar 

  10. Baltsavias G, Kumar R, Avinash KM, Valavanis A. Cranial dural arteriovenous shunts. Part 2. The shunts of the bridging veins and leptomeningeal venous drainage. Neurosurg Rev. 2014;38(2):265–72. https://doi.org/10.1007/s10143-014-0594-y.

    Article  PubMed  Google Scholar 

  11. Baltsavias G, Valavanis A. Endovascular treatment of 170 consecutive cranial dural arteriovenous fistulae: results and complications. Neurosurg Rev. 2014;37(1):63–71.

    Article  Google Scholar 

  12. Lasjaunias P, Chiu M, ter Brugge K, Tolia A, Hurth M, Bernstein M. Neurological manifestations of intracranial dural arteriovenous malformations. J Neurosurg. 1986;64:724–30.

    Article  CAS  Google Scholar 

  13. Tanaka M. Embryological consideration of dural arteriovenous fistulas. Neurol Med Chir (Tokyo). 2016;56(9):544–51. https://www.jstage.jst.go.jp/article/nmc/advpub/0/advpub_oa.2015-0313/_article

    Article  Google Scholar 

  14. Tanaka M. Embryological consideration of dural AVF. In: Tsukahara T, Pasqualin A, Esposito G, Regli L, Pinna G, editors. Trends in cerebrovascular surgery, vol. 123. Cham: Springer; 2016. p. 169–76. https://doi.org/10.1007/978-3-319-29887-0_24.

    Chapter  Google Scholar 

  15. Adeeb N, Mortazavi MM, Tubbs RS, Cohen-Gadol AA (2012) The cranial dura mater: a review of its history, embryology, and anatomy. Childs Nerv Syst 28(6):827–837. http://www.ncbi.nlm.nih.gov/pubmed/18635840.

    Article  Google Scholar 

  16. Friede H. Normal development and growth of the human neurocranium and cranial base. Scand J Plast Reconstr Surg. 1981;15(3):163–9.

    Article  CAS  Google Scholar 

  17. Griessenauer CJ, Raborn J, Foreman P, Shoja MM, Loukas M, Tubbs RS. Venous drainage of the spine and spinal cord: a comprehensive review of its history, embryology, anatomy, physiology, and pathology. Clin Anat. 2015;28:75–87. http://www.ncbi.nlm.nih.gov/pubmed/24677178

    Article  Google Scholar 

  18. Mitsuhashi Y, Aurboonyawat T, Pereira VM, Geibprasert S, Toulgoat F, Ozanne A, et al. 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. 2009;111:889–99.

    Article  Google Scholar 

  19. Opperman LA. Cranial sutures as intramembranous bone growth sites. Dev Dyn. 2000;219:472–85.

    Article  CAS  Google Scholar 

  20. Noden DM, Trainor PA. Relations and interactions between cranial mesoderm and neural crest populations. J Anat. 2005;207:575–601. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1571569&tool=pmcentrez&rendertype=abstract

    Article  Google Scholar 

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Acknowledgments

The author thanks Dr. Giuseppe Esposito and Prof. Tetsuya Tsukahara for their proposal and organization to publish this chapter.

Conflicts of interest disclosure: The author reports no conflict of interest concerning the materials or methods used or the findings specified in this study.

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Authors and Affiliations

  1. Department of Neurosurgery, Kameda Medical Center, Kamogawa, Chiba, Japan

    Michihiro Tanaka M.D., Ph.D.

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  1. Michihiro Tanaka M.D., Ph.D.
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Editors and Affiliations

  1. Department of Neurosurgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland

    Giuseppe Esposito

  2. Department of Neurosurgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland

    Luca Regli

  3. Department of Neurosurgery, Asahi Uni Murakami Memorial Hospital, Gifu, Japan

    Yasuhiko Kaku

  4. Department of Neurosurgery, National Hospital Organization, Kyoto Medical Center, Kyoto, Japan

    Tetsuya Tsukahara

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Tanaka, M. (2018). Falcotentorial Location of Dural Arteriovenous Fistulas Derived from the Neural Crest as a Risk Factor for Aggressive Clinical Course. In: Esposito, G., Regli, L., Kaku, Y., Tsukahara, T. (eds) Trends in the Management of Cerebrovascular Diseases. Acta Neurochirurgica Supplement, vol 129. Springer, Cham. https://doi.org/10.1007/978-3-319-73739-3_18

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  • DOI: https://doi.org/10.1007/978-3-319-73739-3_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-73738-6

  • Online ISBN: 978-3-319-73739-3

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