Characteristics and long-term outcome of 251 patients with dural arteriovenous fistulas in a defined population
- 1 May 2013
- journal article
- Published by Journal of Neurosurgery Publishing Group (JNSPG) in Journal of Neurosurgery
- Vol. 118 (5), 923-934
- https://doi.org/10.3171/2012.11.jns111604
Abstract
Object Management of dural arteriovenous fistulas (DAVFs) has changed during the last decades due to increased knowledge of their pathophysiology and natural history as well as advances in treatment modalities. The authors describe the characteristics and long-term outcome of a large consecutive series of patients with DAVFs. Methods Altogether 251 patients with 261 DAVFs were treated in 2 of the 5 neurosurgery departments at Helsinki and Kuopio University Hospitals between 1944 and 2006. Clinical data and radiological examinations were reviewed to assess patients' overall long-term clinical outcome. Results The detection rate of DAVFs increased markedly in the 1970s and again in the 1990s when digital subtraction angiography was introduced. The incidence of DAVFs in a defined southern Finnish population was 0.51 per 100,000 individuals per year, which represents 32% of all the brain arteriovenous malformations. In the early part of the series, DAVFs were treated by proximal ligation of the feeding arteri...This publication has 58 references indexed in Scilit:
- Gamma Knife Radiosurgery for Dural Arteriovenous FistulasNeurosurgery, 2010
- Management strategies for anterior cranial fossa (ethmoidal) dural arteriovenous fistulas with an emphasis on endovascular treatmentJournal of Neurosurgery, 2009
- Brain arteriovenous malformations in adultsThe Lancet Neurology, 2005
- Prospective, Population-Based Detection of Intracranial Vascular Malformations in AdultsStroke, 2003
- Incidence and prevalence of intracranial vascular malformations in Olmsted County, Minnesota, 1965 to 1992Neurology, 1996
- Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage.Radiology, 1995
- A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatmentJournal of Neurosurgery, 1995
- Intracranial dural arteriovenous fistulae: angiographic predictors of intracranial hemorrhage and clinical outcome in nonsurgical patientsJournal of Neurosurgery, 1994
- Intracranial dural arteriovenous malformations: factors predisposing to an aggressive neurological courseJournal of Neurosurgery, 1990
- Classification and treatment of spontaneous carotid-cavernous sinus fistulasJournal of Neurosurgery, 1985