Dural arteriovenous malformations of the posterior fossa.

Nicola, Giancarlo; Nizzoli, V.

doi:10.1136/jnnp.31.5.514

Cited by 41 publications

(6 citation statements)

References 4 publications

(5 reference statements)

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“…These operations were not successful in eliminating the bruit, however; Pecker's case has been described as a success but the patient still has tentorial and meningeal branches of the vertebral artery feeding the shunt. Among the cases described by Nicola and Nizzoli (1968) there is one similar to ours. In this patient the occipital and suboccipital regions were explored and the largest vessels supplying the malformation were ligated.…”

Section: Case Reportssupporting

confidence: 79%

“…Several cases of this malformation have been described (Verbiest, 1961;Pecker et al, 1965;van Wijngarden and Vinken, 1966;Nicola and Nizzoli, 1968;Newton et al, 1968;Debrun and Chartres, 1972;Houser et al, 1972). Most of them were investigated thoroughly from an angiographic viewpoint but very little was achieved by surgical intervention because only one or two of the afferent arteries at the neck were attacked and ligated, which in most patients is quite inadequate.…”

mentioning

confidence: 99%

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Surgical treatment of dural arteriovenous malformation in the region of the sigmoid sinus

Hugosson

Bergström

1974

Journal of Neurology, Neurosurgery & Psychiatry

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SUMMARY The dural arteriovenous malformation in the occipitomastoid region usually has multiple arterial tributaries from the internal and external carotid and vertebral arteries. They converge towards the proximal segment of the sigmoid sinus, where the arterial blood is shunted into the venous channel. Five cases of this malformation are described. In four of them attempts were made to eliminate the symptoms by radical isolation of the transverse and sigmoid sinuses from all dural attachments. In addition, the mastoid bone over the fistular region had to be removed. To judge from our experience of these operations, this disease is curable.

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Section: Case Reportssupporting

confidence: 79%

mentioning

confidence: 99%

Surgical treatment of dural arteriovenous malformation in the region of the sigmoid sinus

Hugosson

Bergström

1974

Journal of Neurology, Neurosurgery & Psychiatry

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“…Additional supply can be provided by the internal carotid artery (ICA) via the tentorial branches as well as from the muscular and dural branches of the distal vertebral artery (VA). The venous drainage usually occurs via the homolateral transverse and sigmoid sinuses, and in case of obstruction, retrogradely, via the contralateral side and/or the cortical veins [8,13,38,39].…”

Section: Introductionmentioning

confidence: 99%

Dural arteriovenous fistulas including the transverse and sigmoid sinuses: Results of treatment in 30 cases

Olteanu-Nerbe

E²,

Steiger³

et al. 1997

Acta neurochir

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We report about the treatment and outcome of 30 patients with dural arteriovenous fistulas including the transverse and sigmoid sinuses treated between 1986 and 1995. All patients underwent panangiography for definitive diagnosis. The dAVF were supplied by the external carotid artery system alone (14 patients), both external and internal carotid systems (10 patients) or both anterior and posterior circulation (6 patients). Depending on the venous drainage the fistulas were classified following a modification of Djindjian's description with 18 patients revealing Type I (main sinus with antegrade flow), 5 Type II a (main sinus with reflux into the contralateral sinus). 5 Type II b (cortical veins), 1 Type II a+b (both) and 1 of Type III (direct cortical drainage). Bruit, pulsatile tinnitus and headaches were the most common symptoms. 6 patients presented with intracranial haemorrhage, 4 with progressive neurological deficit or seizures and 3 with dementia. Arterial embolization was performed in all cases except one, where a transvenous approach for balloon occlusion of the transverse sinus was performed. 21 patients were treated by single or repeated embolization alone. Only in 9/21 cases did arterial embolization result in complete occlusion of the fistula. In 12/21 patients incomplete occlusion was achieved. Following embolization 8 patients underwent additional surgery including coagulation of the feeding arteries and arterialized veins, sinus resection and reconstruction of the sinus. Overall, 18 patients were cured, 11 improved and 1 patient was unchanged. There was a total number of 5 complications including transient stroke, transient facial nerve palsy, and a small necrotic skin area following embolization. Venous infarction of the occipital lobe was induced by transvenous occlusion and surgical resection of the transverse sinus in one patient each, respectively. From our results we conclude that the endovascular therapy alone is the treatment of choice in case of Type I fistulas. In dAVF of Type II and III repeated endovascular treatment seems not to be sufficient and additional surgery is necessary.

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“…Previous attempts have neither been very systematic nor complete (Laine et al, 1963;Nicola and Nizzoli, 1968;Verbiest, 1968;Debrun and Chartres, 1972;Houser et al, 1972;Aminoff, 1973), mainly because a large number of welldocumented cases are necessary for such grouping of clinical syndromes.…”

Section: Clinical Syndromesmentioning

confidence: 99%

Clinical syndromes of arteriovenous malformations of the transverse-sigmoid sinus.

Obrador¹,

Soto²,

Silvela³

1975

Journal of Neurology, Neurosurgery & Psychiatry

135

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Dural arteriovenous malformations of the posterior fossa.

Cited by 41 publications

References 4 publications

Surgical treatment of dural arteriovenous malformation in the region of the sigmoid sinus

Surgical treatment of dural arteriovenous malformation in the region of the sigmoid sinus

Dural arteriovenous fistulas including the transverse and sigmoid sinuses: Results of treatment in 30 cases

Clinical syndromes of arteriovenous malformations of the transverse-sigmoid sinus.

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