Treatment of dural arteriovenous fistulas in anterior cranial fossa

VernacularTitle:前颅窝底硬脑膜动静脉瘘的治疗
Author: Hui YUAN ¹ ; Zhenwei ZHAO
Author Information

1. 第四军医大学唐都医院神经外科
Keywords: Dural arteriovenous fistula; Anterior cranial fossa; Treatment
From: Chinese Journal of Neuromedicine 2014;13(1):61-64
CountryChina
Language:Chinese
Abstract: Objective To analyze the image,treatment methods and results of 13 patients with dural arteriovenous fistula (DAVF) in the anterior cranial fossa to investigate the treatment strategy.Methods Radiographic examinations (digital subtraction angiography,CT and MRI),surgical methods,and follow-up data of 13 symptomatic patients with DAVFs in the anterior cranial fossa,admitted to our hospital from January 2006 to May 2011,were retrospectively analyzed.Results Catheterization was performed via transarterial approach in six patients; embolization was performed using a liquid embolic system (Onyx-18,MTI).Craniotomy to block the arteriovenous fistula was performed in 7 patients.All patients were followed up for 6-12 months; Glasgow outcome scale (GOS) scores were 5 in all cases.Angiographic follow-up showed complete occlusion of the DAVFs in all patients,without observed fistula.No post-treatment complications were observed.Conclusion Direct surgical management can get good result for DAVFs of anterior cranial fossa; for lesions fed by anterior branch of middle meningeal artery,transarterial embolization of anterior cranial fossa DAVFs is feasible.