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논문 기본 정보

자료유형
학술저널
저자정보
Kortman HG (Department of Radiology St. Elisabeth Hospital Tilburg The Netherlands) Boukrab I (Department of Radiology St. Elisabeth Hospital Tilburg The Netherlands) Bloemsma G (Department of Radiology St. Elisabeth Hospital Tilburg The Netherlands) Peluso JP (Department of Radiology St. Elisabeth Hospital Tilburg The Netherlands) Sluzewski M (Department of Radiology St. Elisabeth Hospital Tilburg The Netherlands) van der Pol B (Department of Neurosurgery St. Elisabeth Hospital Tilburg The Netherlands) Beute GN (Department of Neurosurgery St. Elisabeth Hospital Tilburg The Netherlands) Majoie CB (Department of Radiology Academic Medical Center Amsterdam The Netherlands) van Rooij WJ (Department of Radiology St. Elisabeth Hospital Tilburg The Netherlands)
저널정보
대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.19 No.4
발행연도
2017.1
수록면
284 - 290 (7page)

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Objective : Tentorial dural arteriovenous fistulas usually drain into cortical veins and often present with hemorrhage. Treatment goal is occlusion of the draining vein, either by surgery or endovascular techniques. We present the multimodality treatment results of 12 patients with tentorial dural arteriovenous fistulas. Materials and Methods : Between January 2007 and January 2017, 12 consecutive patients with tentorial dural arteriovenous fistulas were treated. There were 11 men and 1 woman with a mean age of 62 years (range 44-85). Clinical presentation was hemorrhage in 8 (67%), pulsatile tinnitus in 2 (17%) and an incidental finding in 2 (17%). The fistula location was at the tentorium cerebelli in 5 (42%), the torcula Herophilii in 4 (33%) and petroclival in 3 (25%). Results : In 11 patients, arterial embolization with Onyx or PHIL was the primary treatment. Complete obliteration was achieved in one session in 5 (45%) and in 2 sessions in 4 (36%). In 2 patients additional surgery was needed. Primary surgery was performed in 1 patient followed by endovascular coil occlusion via the venous route. One patient with exclusive pial feeders from the posterior inferior cerebellar artery had a clinically silent P3 occlusion during trans arterial embolization. Finally, all 12 fistula were completely occluded, confirmed with angiography after 8-12 weeks. There were no permanent procedural complications. Conclusion : Patients with tentorial dural arteriovenous fistulas were effectively and safely cured with a strategy of endovascular treatment with various techniques and surgery. Surgical and endovascular techniques are complementary in the treatment of these challenging vascular disorders.

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참고문헌 (9)

참고문헌 신청
Byrne JV / 2013 / Tentorial dural fistulas: endovascular management and description of the medial dural-tentorial branch of the superior cerebellar artery / AJNR Am J Neuroradiol 34(9):1798~1804 google schola Cognard C / 1995 / Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage / Radiology 194:671~680 google schola Daniels DJ / 2013 / Intracranial hemorrhage from dural arteriovenous fistulas: clinical features and outcome / Neurosurg Focus 34(5):E15 google schola Davies MA / 1997 / The natural history and management of intracranial dural arteriovenous fistulae. Part 2: aggressive lesions / Interv Neuroradiol 3(4):303~311 google schola Dmytriw AA / 2017 / Gamma Knife radiosurgery for the treatment of intracranial dural arteriovenous fistulas / Interv Neuroradiol 23:211~220 google schola

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