Multiple dural arteriovenous fistulas of the cranium and spine

S. L. Barnwell, V. V. Halbach, C. F. Dowd, R. T. Higashida, G. B. Hieshima, C. B. Wilson

Research output: Contribution to journalArticle

72 Citations (Scopus)

Abstract

Dural arteriovenous fistulas are acquired lesions that usually involve the dura around the cavernous sinus. The transverse, sigmoid, and superior sagittal sinuses may be affected occasionally. With the exception of bilateral cavernous sinus dural arteriovenous fistulas, the simultaneous occurrence of dural arteriovenous fistulas at two locations is rare. Among 105 patients evaluated for dural arteriovenous fistulas, we identified seven patients with fistulas at two sites. The age of the patients ranged from 27 to 74 years. Presentation was related to hemorrhage in three patients, loss of vision in four, and a bruit and headaches in one. Patients were treated with combined surgical and endovascular techniques. All treated lesions were completely closed with no mortality or permanent morbidity. The presence of multiple fistulas must be considered in patients being evaluated for dural arteriovenous fistulas. Patients with multiple fistulas usually present with life-threatening hemorrhages or acute neurologic decline; the risk factor for hemorrhages, including those related to venous outflow obstruction, is high in patients with multiple dural arteriovenous fistulas.

Original languageEnglish (US)
Pages (from-to)441-445
Number of pages5
JournalAmerican Journal of Neuroradiology
Volume12
Issue number3
StatePublished - 1991
Externally publishedYes

Fingerprint

Central Nervous System Vascular Malformations
Skull
Spine
Fistula
Cavernous Sinus
Hemorrhage
Superior Sagittal Sinus
Endovascular Procedures
Sigmoid Colon
Nervous System
Headache
Morbidity
Mortality

ASJC Scopus subject areas

  • Clinical Neurology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Barnwell, S. L., Halbach, V. V., Dowd, C. F., Higashida, R. T., Hieshima, G. B., & Wilson, C. B. (1991). Multiple dural arteriovenous fistulas of the cranium and spine. American Journal of Neuroradiology, 12(3), 441-445.

Multiple dural arteriovenous fistulas of the cranium and spine. / Barnwell, S. L.; Halbach, V. V.; Dowd, C. F.; Higashida, R. T.; Hieshima, G. B.; Wilson, C. B.

In: American Journal of Neuroradiology, Vol. 12, No. 3, 1991, p. 441-445.

Research output: Contribution to journalArticle

Barnwell, SL, Halbach, VV, Dowd, CF, Higashida, RT, Hieshima, GB & Wilson, CB 1991, 'Multiple dural arteriovenous fistulas of the cranium and spine', American Journal of Neuroradiology, vol. 12, no. 3, pp. 441-445.
Barnwell SL, Halbach VV, Dowd CF, Higashida RT, Hieshima GB, Wilson CB. Multiple dural arteriovenous fistulas of the cranium and spine. American Journal of Neuroradiology. 1991;12(3):441-445.
Barnwell, S. L. ; Halbach, V. V. ; Dowd, C. F. ; Higashida, R. T. ; Hieshima, G. B. ; Wilson, C. B. / Multiple dural arteriovenous fistulas of the cranium and spine. In: American Journal of Neuroradiology. 1991 ; Vol. 12, No. 3. pp. 441-445.
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