Abstract
Dural arteriovenous fistulas are abnormal connections between meningeal arteries and dural venous sinuses, meningeal veins, or cortical veins that result in direct arteriovenous shunting. They represent 10–15 % of cerebrovascular malformations with arteriovenous shunting. Their dural arterial supply and lack of a parenchymal nidus differentiate them from pial arteriovenous malformations. Dural arteriovenous fistulas generally are acquired lesions that are frequently associated with prior dural venous sinus thrombosis. Patterns of venous drainage are paramount in determining lesion severity and in guiding treatment. Diagnosis at their early stage may be difficult because of nonspecific clinical and imaging findings. Although the diagnosis has traditionally been by catheter angiography, many of these lesions are now first detected or suspected on cross-sectional imaging.
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References
Gandhi D, Chen J, Pearl M, Huang J, Gemmete JJ, Kathuria S. Intracranial dural arteriovenous fistulas: classification, imaging findings, and treatment. AJNR Am J Neuroradiol. 2012;33(6):1007–13.
Miller TR, Gandhi D. Intracranial dural arteriovenous fistulae: clinical presentation and management strategies. Stroke. 2015;46(7):2017–25.
Kirsch M, Liebig T, Kuhne D, Henkes H. Endovascular management of dural arteriovenous fistulas of the transverse and sigmoid sinus in 150 patients. Neuroradiology. 2009;51(7):477–83.
Morita A, Meyer FB, Nichols DA, Patterson MC. Childhood dural arteriovenous fistulae of the posterior dural sinuses: three case reports and literature review. Neurosurgery. 1995;37(6):1193–9; discussion 9–200.
Miller NR. Dural carotid-cavernous fistulas: epidemiology, clinical presentation, and management. Neurosurg Clin N Am. 2012;23(1):179–92.
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(3):671–80.
Mossa-Basha M, Chen J, Gandhi D. Imaging of cerebral arteriovenous malformations and dural arteriovenous fistulas. Neurosurg Clin N Am. 2012;23(1):27–42.
Noguchi K, Melhem ER, Kanazawa T, Kubo M, Kuwayama N, Seto H. Intracranial dural arteriovenous fistulas: evaluation with combined 3D time-of-flight MR angiography and MR digital subtraction angiography. AJR Am J Roentgenol. 2004;182(1):183–90.
Akiba H, Tamakawa M, Hyodoh H, Hyodoh K, Yama N, Nonaka T, et al. Assessment of dural arteriovenous fistulas of the cavernous sinuses on 3D dynamic MR angiography. AJNR Am J Neuroradiol. 2008;29(9):1652–7.
Noguchi K, Kuwayama N, Kubo M, Kamisaki Y, Kameda K, Tomizawa G, et al. Intracranial dural arteriovenous fistula with retrograde cortical venous drainage: use of susceptibility-weighted imaging in combination with dynamic susceptibility contrast imaging. AJNR Am J Neuroradiol. 2010;31(10):1903–10.
Alexander M, McTaggart R, Santarelli J, Fischbein N, Marks M, Zaharchuk G, et al. Multimodality evaluation of dural arteriovenous fistula with CT angiography, MR with arterial spin labeling, and digital subtraction angiography: case report. J Neuroimaging. 2014;24(5):520–3.
Lee CW, Huang A, Wang YH, Yang CY, Chen YF, Liu HM. Intracranial dural arteriovenous fistulas: diagnosis and evaluation with 64-detector row CT angiography. Radiology. 2010;256(1):219–28.
Kwon BJ, Han MH, Kang HS, Chang KH. MR imaging findings of intracranial dural arteriovenous fistulas: relations with venous drainage patterns. AJNR Am J Neuroradiol. 2005;26(10):2500–7.
Jagadeesan BD, Delgado Almandoz JE, Moran CJ, Benzinger TL. Accuracy of susceptibility-weighted imaging for the detection of arteriovenous shunting in vascular malformations of the brain. Stroke. 2011;42(1):87–92.
Saini J, Thomas B, Bodhey NK, Periakaruppan A, Babulal JM. Susceptibility-weighted imaging in cranial dural arteriovenous fistulas. AJNR Am J Neuroradiol. 2009;30(1):E6.
Leach JL, Wolujewicz M, Strub WM. Partially recanalized chronic dural sinus thrombosis: findings on MR imaging, time-of-flight MR venography, and contrast-enhanced MR venography. AJNR Am J Neuroradiol. 2007;28(4):782–9.
Gupta A, Periakaruppan A. Intracranial dural arteriovenous fistulas: a review. Indian J Radiol Imaging. 2009;19(1):43–8.
Mullins ME, Grant PE, Wang B, Gonzalez RG, Schaefer PW. Parenchymal abnormalities associated with cerebral venous sinus thrombosis: assessment with diffusion-weighted MR imaging. AJNR Am J Neuroradiol. 2004;25(10):1666–75.
Ferro JM, Canhao P, Stam J, Bousser MG, Barinagarrementeria F, Investigators I. Prognosis of cerebral vein and dural sinus thrombosis: results of the International Study on Cerebral Vein and Dural Sinus Thrombosis (ISCVT). Stroke J Cereb Circ. 2004;35(3):664–70.
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Baccin, C.E., da Rocha, A.J., Hoffmann Nunes, R. (2016). Dural Arteriovenous Fistulas. In: Hoffmann Nunes, R., Abello, A., Castillo, M. (eds) Critical Findings in Neuroradiology. Springer, Cham. https://doi.org/10.1007/978-3-319-27987-9_11
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DOI: https://doi.org/10.1007/978-3-319-27987-9_11
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