Sorenson Thomas J, La Pira Biagia, Hughes Joshua, Lanzino Giuseppe
Department of Neurosurgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55902, USA.
Acta Neurochir (Wien). 2017 Aug;159(8):1489-1492. doi: 10.1007/s00701-017-3200-6. Epub 2017 May 15.
Dural arteriovenous fistulas (DAVFs) of the craniocervical junction are uncommon vascular lesions, which often require surgical treatment even in the endovascular era.
Most commonly, the fistula is placed laterally, and surgical ligation is performed through a lateral suboccipital craniotomy. After dural opening, the area is inspected, and the arterialized vein is identified emerging from the dura, often adjacent to the entry point of the vertebral artery, and ligated.
A far lateral craniotomy is the authors' preferred surgical approach for accessing and treating dural arteriovenous fistulas of the craniocervical junction that cannot be reached endovascularly.
颅颈交界区硬脑膜动静脉瘘（DAVFs）是罕见的血管病变，即使在血管内治疗时代，通常也需要手术治疗。
最常见的情况是，瘘位于外侧，通过枕下外侧开颅术进行手术结扎。打开硬脑膜后，检查该区域，识别从硬脑膜中出现的动脉化静脉，其通常毗邻椎动脉的进入点，并进行结扎。
远外侧开颅术是作者首选的手术入路，用于处理无法通过血管内治疗到达的颅颈交界区硬脑膜动静脉瘘。
