Division of Neuroradiology, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.
J Neurosurg. 2013 Jul;119(1):239-42. doi: 10.3171/2013.2.JNS121976. Epub 2013 Mar 29.
Dural arteriovenous fistulas (DAVFs) of the cavernous sinus are acquired arteriovenous shunts between the dural branches of the internal and external carotid arteries and the cavernous sinus. These fistulas may present with cortical venous reflux, but more commonly drain antegradely toward the superior ophthalmic vein (SOV). Transvenous embolization is the most common endovascular treatment, but in some cases transvenous access to the compartment of the shunt may not be possible. In cases with no corticovenous reflux, manual compression of the SOV is an excellent alternative treatment, which is well known but rarely reported in the literature. The authors describe a series of 3 cavernous DAVFs with anterior drainage treated successfully by intermittent manual compression of the SOV.
海绵窦硬脑膜动静脉瘘（DAVF）是硬脑膜分支的颈内动脉和颈外动脉与海绵窦之间获得性动静脉分流。这些瘘可能表现为皮质静脉回流，但更常见的是向前向眼上静脉（SOV）引流。经静脉栓塞是最常见的血管内治疗方法，但在某些情况下，可能无法经静脉进入分流腔。对于没有皮质静脉反流的病例，手动压迫 SOV 是一种极好的替代治疗方法，这在文献中广为人知但很少有报道。作者描述了 3 例前引流的海绵窦 DAVF，通过间歇性手动压迫 SOV 成功治疗。
