Dural arteriovenous malformations associated with cerebral aneurysms

Suzuki, Sachio; Tanaka, Ryusui; Miyasaka, Yoshio; Kurata, Akira; Takano, Makoto; Fujii, Kiyotaka

doi:10.1054/jocn.2000.0708

Cited by 16 publications

(11 citation statements)

References 10 publications

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“…One prior study 10 also found that 13% of patients with DAVFs have remote aneurysms. The authors noted that all 6 patients possessing DAVFs and aneurysms were male, 3 of whom possessed anterior cranial fossa DAVFs while the other 3 had convexity DAVFs.…”

Section: Discussionmentioning

confidence: 84%

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Cerebral dural arteriovenous fistulas and aneurysms

Gross¹,

Ropper²,

Du³

2012

FOC

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Object The association of aneurysms and cerebral arteriovenous malformations is well established in the literature. Aside from a small number of case reports and small patient series, this association has not been well explored with cerebral dural arteriovenous fistulas (DAVFs). This study was designed to elucidate this relationship in the authors' own patient cohort with DAVFs. Methods Cerebral angiograms of 56 patients with 70 DAVFs were reviewed for the presence of cerebral aneurysms. Background patient demographics, mode of presentation, and DAVF and aneurysm angiographic characteristics were noted. Results Twelve patients (21%) had aneurysms in addition to their DAVF. Three patients had multiple aneurysms. Of a total of 15 aneurysms, 5 (33%) occurred on DAVF feeding arteries and 10 (67%) were in remote locations. These patients more commonly presented with hemorrhage (58% vs 20% for those without aneurysms). Aneurysms were associated with DAVFs in any location (feeding artery or remote), but flow-related feeding artery aneurysms were more likely to be associated with Borden Type III DAVFs. Conclusions Twenty-one percent of patients with cerebral DAVFs also had aneurysms in this patient cohort. It is thus prudent to perform 6-vessel digital subtraction angiography on patients with DAVFs to rule out potential feeding artery and remote aneurysms. This association may be explained by flow-related phenomena, the initial inciting event leading to DAVF formation, as well as a potential genetic component or predisposition to develop these lesions.

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Section: Discussionmentioning

confidence: 84%

“…2,4 In contrast, the frequency and significance of aneurysms associated with cerebral DAVFs is infrequently addressed, and is limited to case reports and small patient series. 3,[5][6][7]10 In this report, we review our own patient cohort of cerebral DAVFs and evaluate the association of aneurysms with cerebral DAVFs.…”

mentioning

confidence: 99%

Cerebral dural arteriovenous fistulas and aneurysms

Gross¹,

Ropper²,

Du³

2012

FOC

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“…Anterior cranial fossa dural arteriovenous malformation (AVM) is associated with various types of cerebral aneurysm, 2,6,7,9,17) but association with ACoA aneurysm is only represented by a case of diffuse SAH without ICH treated by surgery for a ruptured aneurysm on the first day, then later removal of a dural AVM. 16) This association may be clinically significant if the presentation is apoplectic, since both anterior cranial fossa dural AVF and intracranial aneurysm carry high risks for bleeding.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Concurrent surgery was performed in only one 17) of 6 cases presenting as non-hemorrhagic episodes (Table 2). 9,11,13,17) Since both surgeries are considered to be major, there may be some reluctance to undertake combined procedures. However, only disconnection of the fistula with coagulation is sufficient for anterior cranial fossa dural AVF, 1,3,13) and the surgical results are usually satisfactory.…”

Section: Discussionmentioning

confidence: 99%

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Ruptured Anterior Communicating Artery Aneurysm Associated With Anterior Cranial Fossa Dural Arteriovenous Fistula -Case Report-

Sato

Shimizu

Fukuhara

et al. 2011

Neurol. Med. Chir.(Tokyo)

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A 77-year-old man presented with an extremely rare association of anterior cranial fossa dural arteriovenous fistula (AVF) with anterior communicating artery (ACoA) aneurysm manifesting as consciousness deterioration due to intracerebral hemorrhage in the left frontal lobe and diffuse subarachnoid hemorrhage. Angiography confirmed the association of a dural AVF fed by both ethmoidal arteries and an ACoA aneurysm. Surgery for these two lesions was performed concurrently, and the ACoA aneurysm was found to be responsible for the hemorrhage. This association seems incidental, but is clinically significant since the preoperative determination of the bleeding point is difficult. We conclude that these two lesions should be treated simultaneously, to avoid leaving the ruptured point untreated.

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