| Dural arteriovenous fistulae at the craniocervical junction: the relation between clinical symptom and pattern of venous drainage. | |
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MedLine Citation:
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PMID: 21125453 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND: dural arteriovenous fistula (DAVF) at the craniocervical junction is an unusual condition with alternative presentations and is a rare cause of intracranial subarachnoid hemorrhage (SAH). We performed a retrospective, angiographic study of six consecutive patients to assess the relation between symptom and venous drainage and to predict the risk for SAH. METHODS: there were three females and three males; ages ranged between 37 and 64 with a mean of 52.5. Among them, four had SAH and two had pain. Diagnosis of DVAF was based on CTA, MRA and angiograph. RESULTS: three patients (50%, 3/6), with single or main ascending venous route into the intracranial vein, all had intracranial SAH. Among these three patients, varix or pouches was identified in two cases (66.7%, 2/3). Three cases were treated by surgical interventions, while two subjects were endovascular techniques. The overall clinical outcomes were good during an average follow-up period of 13 months. In particular, follow-up angiographs performed 6 months later revealed the complete disappearance of DAVF in three patients. CONCLUSIONS: there was an increased risk of SAH if DAVF at the craniocervical junction manifested an ascending venous route into the intracranial vein and/or presented with varix or pouches. |
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Authors:
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Gong Chen; Qihong Wang; Yanlong Tian; Yuxinag Gu; Bin Xu; Bing Leng; Donglei Song |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta neurochirurgica. Supplement Volume: 110 ISSN: 0065-1419 ISO Abbreviation: Acta Neurochir. Suppl. Publication Date: 2011 |
Date Detail:
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Created Date: 2010-12-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100962752 Medline TA: Acta Neurochir Suppl Country: Austria |
Other Details:
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Languages: eng Pagination: 99-104 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Huashan Hospital, Neurosurgical Department, Shanghai Medical College, Fudan University, Shanghai, 200040, China. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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