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- W2189331395 abstract "Dural arteriovenous fistulas (dAVFs) are unusual vascular lesions that may form because of trauma or sinus thrombosis, but are idiopathic in most cases [1]. Connections between the dural artery and the cortical veins result in the veins being exposed to high pressures, leading to venous hypertension and subarachnoid hemorrhage [2]. Patients may present with pulsatile tinnitus (or pulse-synchronous cephalic bruit), non-specific headaches, vision loss or mental status change [3]. One or several major arteries can supply a dAVF, including the vertebral, basilar, and external (ECA) or internal carotid arteries (ICA) through their dural branches [2]. Given the high risk of bleeding in dAVFs with cortical venous hypertension, treatment of such lesions is indicated. This can be achieved via endovascular occlusion of the fistulous pouch or via open microsurgical disconnection. In this report, a case is presented in which a patient with a transient speech difficulty was found to have a left sided dAVF with a blind-ending venous sinus pouch and retrograde cortical venous drainage. A combined surgical/endovascular approach resulted in successful and complete embolization." @default.
- W2189331395 created "2016-06-24" @default.
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- W2189331395 date "2014-01-01" @default.
- W2189331395 modified "2023-09-24" @default.
- W2189331395 title "Dural Arteriovenous Fistula Treated by Combined Surgical/ Endovascular Approach" @default.
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