Mulholland Celene B, Kalani M Yashar S, Albuquerque Felipe C
Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Handb Clin Neurol. 2017;143:117-123. doi: 10.1016/B978-0-444-63640-9.00011-4.
Dural arteriovenous fistulas are a heterogeneous group of lesions that comprise 10-15% of intracranial vascular malformations. The treatment strategy is devised after careful consideration of the arterial supply, venous drainage, clinical presentation, and risk of progression, hemorrhage, or neurologic decline. With recent advancements in endovascular technology, the majority of dural arteriovenous fistulas can be treated with either transarterial or transvenous embolization. Those that cannot be fully treated by endovascular means are approached with either adjuvant surgery or radiotherapy.
硬脑膜动静脉瘘是一组异质性病变，占颅内血管畸形的10%-15%。治疗策略是在仔细考虑动脉供血、静脉引流、临床表现以及进展、出血或神经功能衰退风险后制定的。随着血管内技术的最新进展，大多数硬脑膜动静脉瘘可通过经动脉或经静脉栓塞治疗。那些不能通过血管内手段完全治疗的病变，则采用辅助手术或放射治疗。
