Case
About this case
Operative video: Dural AV Fistula. The background notes below summarise the anatomy, pathology and approach, with published references.
Reference notes
Background
Notes on this case’s cranial location, pathology and surgical approach, with published sources. General education only, not advice for any individual patient.
Pathology
Dural AV Fistula
Dural arteriovenous fistulas are abnormal shunts within the dura between meningeal arteries and venous sinuses or cortical veins. Risk is stratified by venous drainage: cortical venous reflux (Borden II–III, Cognard IIb–V) carries a substantial haemorrhage and neurological risk.
Treatment is obliteration of the fistulous point, usually by endovascular embolisation, with surgical disconnection of the draining vein when endovascular access fails.
References
- Borden JA, Wu JK, Shucart WA. A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg. 1995;82(2):166-179.
- Cognard C, Gobin YP, Pierot L, et al. Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology. 1995;194(3):671-680.
