Childhood dural arteriovenous fistulae of the posterior dural sinuses: Three case reports and literature review

Akio Morita, Fredric B. Meyer, Douglas A. Nichols, Marc C. Patterson

Research output: Contribution to journalArticle

63 Scopus citations

Abstract

WE REPORT THREE cases of posterior dural sinus arteriovenous fistulae in pediatric patients and a literature review of 18 additional cases. These lesions carry a grave prognosis with a reported mortality of 38% and with an historical anatomic cure of only ∼9%. With advanced neurointerventional techniques and increased knowledge of their pathophysiology, these highly complicated lesions can be more safely treated with a strategy that involves extensive preoperative embolization and surgical excision. The importance of delaying direct surgery with conservative measures or interventional radiological treatment, including preoperative transarterial and transvenous embolization, is critical in the management of these lesions.

Original languageEnglish (US)
Pages (from-to)1193-1200
Number of pages8
JournalNeurosurgery
Volume37
Issue number6
DOIs
StatePublished - Dec 1995

Keywords

  • Cardiac failure
  • Dural avf
  • Embolization
  • Pediatric
  • Surgical resection

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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