Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Tentorial Dural Arteriovenous Fistula Treated Using Transarterial Onyx Embolization

  • Kim, Hyun-Jung (Department of Radiology, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Yang, Ji-Ho (Department of Neurosurgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Lee, Hong-Jae (Department of Neurosurgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Lee, Hyung-Jin (Department of Neurosurgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • Received : 2014.10.22
  • Accepted : 2014.12.15
  • Published : 2015.10.28
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Abstract

Tentorial dural arteriovenous fistula (DAVF) is a rare vascular disease, which has high risk of intracranial hemorrhage. We present two cases of tentorial DAVF which were successfully treated with single trial of transarterial embolization using Onyx. We briefly reviewed the types of the tentorial DAVF and strategies of treatment.

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References

  1. Awad IA, Little JR, Akarawi WP, Ahl J : Intracranial dural arteriovenous malformations : factors predisposing to an aggressive neurological course. J Neurosurg 72 : 839-850, 1990 https://doi.org/10.3171/jns.1990.72.6.0839
  2. Borden JA, Wu JK, Shucart WA : A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg 82 : 166-179, 1995 https://doi.org/10.3171/jns.1995.82.2.0166
  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 194 : 671-680, 1995 https://doi.org/10.1148/radiology.194.3.7862961
  4. Davies MA, Ter Brugge K, Willinsky R, Wallace MC : The natural history and management of intracranial dural arteriovenous fistulae. Part 2 : aggressive lesions. Interv Neuroradiol 3 : 303-311, 1997 https://doi.org/10.1177/159101999700300405
  5. Gruber A, Mazal PR, Bavinzski G, Killer M, Budka H, Richling B : Repermeation of partially embolized cerebral arteriovenous malformations : a clinical, radiologic, and histologic study. AJNR Am J Neuroradiol 17 : 1323-1331, 1996
  6. Huang Q, Xu Y, Hong B, Li Q, Zhao W, Liu J : Use of onyx in the management of tentorial dural arteriovenous fistulae. Neurosurgery 65 : 287-292; discussion 292-293, 2009 https://doi.org/10.1227/01.NEU.0000348298.75128.D0
  7. Hwang G, Kang HS, Oh CW, Kwon OK : Surgical obliteration in superior petrosal sinus dural arteriovenous fistula. J Korean Neurosurg Soc 49 : 222-225, 2011 https://doi.org/10.3340/jkns.2011.49.4.222
  8. Jiang C, Lv X, Li Y, Zhang J, Wu Z : Endovascular treatment of high-risk tentorial dural arteriovenous fistulas : clinical outcomes. Neuroradiology 51 : 103-111, 2009 https://doi.org/10.1007/s00234-008-0473-8
  9. Lasjaunias P, Chiu M, ter Brugge K, Tolia A, Hurth M, Bernstein M : Neurological manifestations of intracranial dural arteriovenous malformations. J Neurosurg 64 : 724-730, 1986 https://doi.org/10.3171/jns.1986.64.5.0724
  10. Lawton MT, Sanchez-Mejia RO, Pham D, Tan J, Halbach VV : Tentorial dural arteriovenous fistulae : operative strategies and microsurgical results for six types. Neurosurgery 62 (3 Suppl 1) : 110-124; discussion 124-125, 2008 https://doi.org/10.1227/01.neu.0000317381.68561.b0
  11. Lewis AI, Tomsick TA, Tew JM Jr : Management of tentorial dural arteriovenous malformations : transarterial embolization combined with stereotactic radiation or surgery. J Neurosurg 81 : 851-859, 1994 https://doi.org/10.3171/jns.1994.81.6.0851
  12. Picard L, Bracard S, Islak C, Roy D, Moreno A, Marchal JC, et al. : Dural fistulae of the tentorium cerebelli. Radioanatomical, clinical and therapeutic considerations. J Neuroradiol 17 : 161-181, 1990
  13. Roy D, Raymond J : The role of transvenous embolization in the treatment of intracranial dural arteriovenous fistulas. Neurosurgery 40 : 1133-1141; discussion 1141-1144, 1997 https://doi.org/10.1097/00006123-199706000-00004
  14. Tomak PR, Cloft HJ, Kaga A, Cawley CM, Dion J, Barrow DL, et al. : Evolution of the management of tentorial dural arteriovenous malformations. Neurosurgery 52 : 750-760; discussion 760-762, 2003 https://doi.org/10.1227/01.NEU.0000053221.22954.85

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