Skip to main content
PMC home page
Skull Base Surgery logoLink to Skull Base Surgery
. 1999;9(1):1–7. doi: 10.1055/s-2008-1058166

Dural Arteriovenous Fistulas of the Craniocervical Junction

Robert W Hurst, Linda J Bagley, Mary Scanlon, Eugene S Flamm
PMCID: PMC1656725  PMID: 17171075

Abstract

Dural arteriovenous fistulas (DAVF) involving the craniocervical junction are uncommon lesions that may result in neurological deficits referable to posterior fossa structures and/or the spinal cord. We report on two patients with craniocervical junction DAVF whose venous drainage involved the cervical spinal cord. Both cases presented with progressive quadriparesis and parenchymal magnetic resonance signal abnormality of the cervical spinal cord. Both patients improved following embolization of the fistulas. AVF of the craniocervical junction are an uncommon, but important cause of treatable neurological deficits referable to this region of the nervous system.

Full text

PDF
4

Images in this article

3Figure 1
on p.3
4Figure 2
on p.4
4p4-b
on p.4
5Figure 3
on p.5

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Awad I. A., Little J. R., Akarawi W. P., Ahl J. Intracranial dural arteriovenous malformations: factors predisposing to an aggressive neurological course. J Neurosurg. 1990 Jun;72(6):839–850. doi: 10.3171/jns.1990.72.6.0839. [DOI] [PubMed] [Google Scholar]
  2. Bederson J. B., Wiestler O. D., Brüstle O., Roth P., Frick R., Yaşargil M. G. Intracranial venous hypertension and the effects of venous outflow obstruction in a rat model of arteriovenous fistula. Neurosurgery. 1991 Sep;29(3):341–350. doi: 10.1097/00006123-199109000-00002. [DOI] [PubMed] [Google Scholar]
  3. Bowen B. C., Fraser K., Kochan J. P., Pattany P. M., Green B. A., Quencer R. M. Spinal dural arteriovenous fistulas: evaluation with MR angiography. AJNR Am J Neuroradiol. 1995 Nov-Dec;16(10):2029–2043. [PMC free article] [PubMed] [Google Scholar]
  4. Brunereau L., Gobin Y. P., Meder J. F., Cognard C., Tubiana J. M., Merland J. J. Intracranial dural arteriovenous fistulas with spinal venous drainage: relation between clinical presentation and angiographic findings. AJNR Am J Neuroradiol. 1996 Sep;17(8):1549–1554. [PMC free article] [PubMed] [Google Scholar]
  5. Choi I. S. Spinal dural arteriovenous fistula: the role of PVA embolization. AJNR Am J Neuroradiol. 1992 May-Jun;13(3):941–942. [PMC free article] [PubMed] [Google Scholar]
  6. Cognard C., Gobin Y. P., Pierot L., Bailly A. L., Houdart E., Casasco A., Chiras J., Merland J. J. Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology. 1995 Mar;194(3):671–680. doi: 10.1148/radiology.194.3.7862961. [DOI] [PubMed] [Google Scholar]
  7. Gaensler E. H., Jackson D. E., Jr, Halbach V. V. Arteriovenous fistulas of the cervicomedullary junction as a cause of myelopathy: radiographic findings in two cases. AJNR Am J Neuroradiol. 1990 May;11(3):518–521. [PMC free article] [PubMed] [Google Scholar]
  8. Gilbertson J. R., Miller G. M., Goldman M. S., Marsh W. R. Spinal dural arteriovenous fistulas: MR and myelographic findings. AJNR Am J Neuroradiol. 1995 Nov-Dec;16(10):2049–2057. [PMC free article] [PubMed] [Google Scholar]
  9. Isu T., Iwasaki Y., Akino M., Koyanagi I., Abe H. Magnetic resonance imaging in cases of spinal dural arteriovenous malformation. Neurosurgery. 1989 Jun;24(6):919–923. doi: 10.1227/00006123-198906000-00023. [DOI] [PubMed] [Google Scholar]
  10. Kurokawa Y., Hashi K., Okuyama T., Uede T. Regional ischemia in cerebral venous hypertension due to embolic occlusion of the superior sagittal sinus in the rat. Surg Neurol. 1990 Dec;34(6):390–395. doi: 10.1016/0090-3019(90)90242-h. [DOI] [PubMed] [Google Scholar]
  11. Larsson E. M., Desai P., Hardin C. W., Story J., Jinkins J. R. Venous infarction of the spinal cord resulting from dural arteriovenous fistula: MR imaging findings. AJNR Am J Neuroradiol. 1991 Jul-Aug;12(4):739–743. [PMC free article] [PubMed] [Google Scholar]
  12. Masaryk T. J., Ross J. S., Modic M. T., Ruff R. L., Selman W. R., Ratcheson R. A. Radiculomeningeal vascular malformations of the spine: MR imaging. Radiology. 1987 Sep;164(3):845–849. doi: 10.1148/radiology.164.3.3615886. [DOI] [PubMed] [Google Scholar]
  13. Nakase H., Heimann A., Kempski O. Alterations of regional cerebral blood flow and oxygen saturation in a rat sinus-vein thrombosis model. Stroke. 1996 Apr;27(4):720–728. doi: 10.1161/01.str.27.4.720. [DOI] [PubMed] [Google Scholar]

Articles from Skull base surgery are provided here courtesy of Thieme Medical Publishers

RESOURCES