Lownie S P
Department of Clinical Neurological Sciences (Neurosurgery), University of Western Ontario, London, Canada.
Neurosurg Clin N Am. 1994 Jul;5(3):449-58.
Dural arteriovenous malformations are probably acquired lesions, and therefore the term dural arteriovenous fistula (AVF) is more appropriate. Dural AVFs generally present with symptoms related to their venous drainage. Common indications for treatment include hemorrhage, progressive neurologic deficit, and intractable tinnitus. Endovascular therapy is preferred in the majority of cases, although certain locations warrant direct neurosurgical or combined techniques. Endovascular therapy of dural AVFs may be taxing for both patient and endovascular therapist. More than one treatment session employing both arterial and venous approaches may be required.
硬脑膜动静脉畸形可能是后天获得性病变，因此硬脑膜动静脉瘘（AVF）这一术语更为合适。硬脑膜动静脉瘘通常表现出与其静脉引流相关的症状。常见的治疗指征包括出血、进行性神经功能缺损和顽固性耳鸣。在大多数情况下，血管内治疗是首选，尽管某些部位需要直接的神经外科手术或联合技术。硬脑膜动静脉瘘的血管内治疗对患者和血管内治疗师来说都可能很费力。可能需要采用动脉和静脉途径进行不止一次治疗。
