Early rebleeding from intracranial dural arteriovenous fistulas: report of 20 cases and review of the literature

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  • 1 Department of Neurosurgery, Hôpital de la Salpêtrière, Paris, France
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Object. In this study the authors sought to estimate the frequency, seriousness, and delay of rebleeding in a homogeneous series of 20 patients whom they treated between May 1987 and May 1997 for arteriovenous fistulas (AVFs) that were revealed by intracranial hemorrhage (ICH). The natural history of intracranial dural AVFs remains obscure. In many studies attempts have been made to evaluate the risk of spontaneous hemorrhage, especially as a function of the pattern of venous drainage: a higher occurrence of bleeding was reported in AVFs with retrograde cortical venous drainage, with an overall estimated rate of 1.8% per year in the largest series in the literature. However, very few studies have been designed to establish the risk of rebleeding, an omission that the authors seek to remedy.

Methods. Presenting symptoms in the 20 patients (17 men and three women, mean age 54 years) were acute headache in 12 patients (60%), acute neurological deficit in eight (40%), loss of consciousness in five (25%), and generalized seizures in one (5%). Results of the clinical examination were normal in five patients and demonstrated a neurological deficit in 12 and coma in three. Computerized tomography scanning revealed intracranial bleeding in all cases (15 intraparenchymal hematomas, three subarachnoid hemorrhages, and two subdural hematomas). A diagnosis of AVF was made with the aid of angiographic studies in 19 patients, whereas it was a perioperative discovery in the remaining patient. There were 12 Type III and eight Type IV AVFs according to the revised classification of Djindjian and Merland, which meant that all AVFs in this study had retrograde cortical venous drainage. The mean duration between the first hemorrhage and treatment was 20 days. Seven patients (35%) presented with acute worsening during this delay due to radiologically proven early rebleeding. Treatment consisted of surgery alone in 10 patients, combined embolization and surgery in eight, embolization only in one, and stereotactic radiosurgery in one. Three patients died, one worsened, and in 16 (80%) neurological status improved, with 15 of 16 AVFs totally occluded on repeated angiographic studies (median follow up 10 months).

Conclusions. The authors found that AVFs with retrograde cortical venous drainage present a high risk of early rebleeding (35% within 2 weeks after the first hemorrhage), with graver consequences than the first hemorrhage. They therefore advocate complete and early treatment in all cases of AVF with cortical venous drainage revealed by an ICH.

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  • 1.

    Aminoff ML: Vascular anomalies of the intracranial dura mater. Brain 96:601612, 1973 Aminoff ML: Vascular anomalies of the intracranial dura mater. Brain 96:601–612, 1973

    • Search Google Scholar
    • Export Citation
  • 2.

    Awad IA, , Little JR, & Akrawi WP, et al: Intracranial dura arteriovenous malformations: factors predisposing to an aggressive neurological course. J Neurosurg 72:839850, 1990 Awad IA, Little JR, Akrawi WP, et al: Intracranial dura arteriovenous malformations: factors predisposing to an aggressive neurological course. J Neurosurg 72:839–850, 1990

    • Search Google Scholar
    • Export Citation
  • 3.

    Barnwell SL, , Halbach VV, & Dowd CF, et al: A variant of arteriovenous fistulas within the wall of dural sinuses. Results of combined surgical and endovascular therapy. J Neurosurg 74:199204, 1991 Barnwell SL, Halbach VV, Dowd CF, et al: A variant of arteriovenous fistulas within the wall of dural sinuses. Results of combined surgical and endovascular therapy. J Neurosurg 74:199–204, 1991

    • Search Google Scholar
    • Export Citation
  • 4.

    Barnwell SL, , Halbach VV, & Higashida RT, et al: Complex dural arteriovenous fistulas. Results of combined endovascular and neurosurgical treatment in 16 patients. J Neurosurg 71:352358, 1989 Barnwell SL, Halbach VV, Higashida RT, et al: Complex dural arteriovenous fistulas. Results of combined endovascular and neurosurgical treatment in 16 patients. J Neurosurg 71:352–358, 1989

    • Search Google Scholar
    • Export Citation
  • 5.

    Billewicz O, , Kamraj-Mazurkiewicz K, & Pryczkowski J: Case of congenital arteriovenous fistula fed by the middle meningeal artery. Neuroradiology 2:234236, 1971 Billewicz O, Kamraj-Mazurkiewicz K, Pryczkowski J: Case of congenital arteriovenous fistula fed by the middle meningeal artery. Neuroradiology 2:234–236, 1971

    • Search Google Scholar
    • Export Citation
  • 6.

    Bitoh S, & Sakaki S: Spontaneous cure of dural arteriovenous malformation in the posterior fossa. Surg Neurol 12:111114, 1979 Bitoh S, Sakaki S: Spontaneous cure of dural arteriovenous malformation in the posterior fossa. Surg Neurol 12:111–114, 1979

    • Search Google Scholar
    • Export Citation
  • 7.

    Borden JA, , Wu JK, & Shucart WA: A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg 82:166179, 1995 Borden JA, Wu JK, Shucart WA: A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg 82:166–179, 1995

    • Search Google Scholar
    • Export Citation
  • 8.

    Brown RD Jr, , Wiebers DO, & Nichols DA: Intracranial dural arteriovenous fistulae: angiographic predictors of intracranial hemorrhage and clinical outcome in nonsurgical patients. J Neurosurg 81:531538, 1994 Brown RD Jr, Wiebers DO, Nichols DA: Intracranial dural arteriovenous fistulae: angiographic predictors of intracranial hemorrhage and clinical outcome in nonsurgical patients. J Neurosurg 81:531–538, 1994

    • Search Google Scholar
    • Export Citation
  • 9.

    Castaigne P, , Bories J, & Brunet P, et al: Les fistules artérioveineuses méningées pures à drainage veineux cortical. Rev Neurol 132:169181, 1976 Castaigne P, Bories J, Brunet P, et al: Les fistules artérioveineuses méningées pures à drainage veineux cortical. Rev Neurol 132:169–181, 1976

    • Search Google Scholar
    • Export Citation
  • 10.

    Chandler HC Jr, & Friedman WA: Successful radiosurgical treatment of a dural arteriovenous malformation: case report. Neurosurgery 33:139142, 1993 Chandler HC Jr, Friedman WA: Successful radiosurgical treatment of a dural arteriovenous malformation: case report. Neurosurgery 33:139–142, 1993

    • Search Google Scholar
    • Export Citation
  • 11.

    Ciminello VJ, & Sachs E Jr: Arteriovenous malformations of the posterior fossa. J Neurosurg 19:602604, 1962 Ciminello VJ, Sachs E Jr: Arteriovenous malformations of the posterior fossa. J Neurosurg 19:602–604, 1962

    • Search Google Scholar
    • Export Citation
  • 12.

    Cognard C, , Gobin YP, & Pierot L, et al: Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology 194:671680, 1995 Cognard C, Gobin YP, Pierot L, et al: Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology 194:671–680, 1995

    • Search Google Scholar
    • Export Citation
  • 13.

    Collice M, , D'Aliberti G, & Talamonti G, et al: Surgical interruption of leptomeningeal drainage as treatment for intracranial dural arteriovenous fistulas without dural sinus drainage. J Neurosurg 84:810817, 1996 Collice M, D'Aliberti G, Talamonti G, et al: Surgical interruption of leptomeningeal drainage as treatment for intracranial dural arteriovenous fistulas without dural sinus drainage. J Neurosurg 84:810–817, 1996

    • Search Google Scholar
    • Export Citation
  • 14.

    Davies MA, , TerBrugge K, & Willinsky R, et al: The validity of classification for the clinical presentation of intracranial dural arteriovenous fistulas. J Neurosurg 85:830837, 1996 Davies MA, TerBrugge K, Willinsky R, et al: The validity of classification for the clinical presentation of intracranial dural arteriovenous fistulas. J Neurosurg 85:830–837, 1996

    • Search Google Scholar
    • Export Citation
  • 15.

    Djindjian R, & Merland JJ: Super-Selective Arteriography of the External Carotid Artery. Berlin: Springler-Verlag, 1978, pp 405536 Djindjian R, Merland JJ: Super-Selective Arteriography of the External Carotid Artery. Berlin: Springler-Verlag, 1978, pp 405–536

    • Search Google Scholar
    • Export Citation
  • 16.

    Endo S, , Koshu K, & Suzuki J: Spontaneous regression of posterior fossa dural arteriovenous malformation. J Neurosurg 51:715717, 1979 Endo S, Koshu K, Suzuki J: Spontaneous regression of posterior fossa dural arteriovenous malformation. J Neurosurg 51:715–717, 1979

    • Search Google Scholar
    • Export Citation
  • 17.

    Enker SH: Progression of a dural arteriovenous malformation resulting in an intracerebral hematoma. A case report. Angiology 30:198204, 1979 Enker SH: Progression of a dural arteriovenous malformation resulting in an intracerebral hematoma. A case report. Angiology 30:198–204, 1979

    • Search Google Scholar
    • Export Citation
  • 18.

    Fardoun R, , Adam Y, & Mercier P, et al: Tentorial arteriovenous malformation presenting as an intracerebral hematoma. Case report. J Neurosurg 55:976978, 1981 Fardoun R, Adam Y, Mercier P, et al: Tentorial arteriovenous malformation presenting as an intracerebral hematoma. Case report. J Neurosurg 55:976–978, 1981

    • Search Google Scholar
    • Export Citation
  • 19.

    Fermand M, , Reizine D, & Melki JP, et al: Long term follow-up of 43 pure dural arteriovenous fistulae (AVF) of the lateral sinus. Neuroradiology 29:348353, 1987 Fermand M, Reizine D, Melki JP, et al: Long term follow-up of 43 pure dural arteriovenous fistulae (AVF) of the lateral sinus. Neuroradiology 29:348–353, 1987

    • Search Google Scholar
    • Export Citation
  • 20.

    Fransen P, , Mathurin P, & Pierre P, et al: Interest and necessity of combined neuroradiological and neurosurgical treatment in some cases of dural arterio-venous fistulae. Acta Neurochir 121:2633, 1993 Fransen P, Mathurin P, Pierre P, et al: Interest and necessity of combined neuroradiological and neurosurgical treatment in some cases of dural arterio-venous fistulae. Acta Neurochir 121:26–33, 1993

    • Search Google Scholar
    • Export Citation
  • 21.

    Gobin YP, , Rogopoulos A, & Aymard A, et al: Endovascular treatment of intracranial dural arteriovenous fistulas with spinal perimedullary venous drainage. J Neurosurg 77:718723, 1992 Gobin YP, Rogopoulos A, Aymard A, et al: Endovascular treatment of intracranial dural arteriovenous fistulas with spinal perimedullary venous drainage. J Neurosurg 77:718–723, 1992

    • Search Google Scholar
    • Export Citation
  • 22.

    Grady MS, & Pobereskin L: Arteriovenous malformations of the dura mater. Surg Neurol 28:135140, 1987 Grady MS, Pobereskin L: Arteriovenous malformations of the dura mater. Surg Neurol 28:135–140, 1987

    • Search Google Scholar
    • Export Citation
  • 23.

    Grisoli F, , Vincentelli F, & Fuchs S, et al: Surgical treatment of tentorial arteriovenous malformations draining into the subarachnoid space. Report of four cases. J Neurosurg 60:10591066, 1984 Grisoli F, Vincentelli F, Fuchs S, et al: Surgical treatment of tentorial arteriovenous malformations draining into the subarachnoid space. Report of four cases. J Neurosurg 60:1059–1066, 1984

    • Search Google Scholar
    • Export Citation
  • 24.

    Halbach VV, , Higashida RT, & Hieshima GB, et al: Transvenous embolization of dural fistulas involving the transverse and sigmoid sinuses. AJNR 10:385392, 1989 Halbach VV, Higashida RT, Hieshima GB, et al: Transvenous embolization of dural fistulas involving the transverse and sigmoid sinuses. AJNR 10:385–392, 1989

    • Search Google Scholar
    • Export Citation
  • 25.

    Halbach VV, , Higashida RT, & Hieshima GB, et al: Treatment of dural arteriovenous malformations involving the superior sagittal sinus. AJNR 9:337343, 1988 Halbach VV, Higashida RT, Hieshima GB, et al: Treatment of dural arteriovenous malformations involving the superior sagittal sinus. AJNR 9:337–343, 1988

    • Search Google Scholar
    • Export Citation
  • 26.

    Halbach VV, , Higashida RT, & Hieshima GB, et al: Treatment of dural fistulas involving the deep cerebral venous system. AJNR 10:393399, 1989 Halbach VV, Higashida RT, Hieshima GB, et al: Treatment of dural fistulas involving the deep cerebral venous system. AJNR 10:393–399, 1989

    • Search Google Scholar
    • Export Citation
  • 27.

    Halbach VV, , Randall TH, & Hieshima GB, et al: Dural fistulas involving the transverse and sigmoid sinuses: result of treatment in 28 patients. Radiology 163:443447, 1987 Halbach VV, Randall TH, Hieshima GB, et al: Dural fistulas involving the transverse and sigmoid sinuses: result of treatment in 28 patients. Radiology 163:443–447, 1987

    • Search Google Scholar
    • Export Citation
  • 28.

    Hansen JH, & Søgaard IB: Spontaneous regression of an extra- and intracranial arteriovenous malformation. Case report. J Neurosurg 45:338341, 1976 Hansen JH, Søgaard IB: Spontaneous regression of an extra- and intracranial arteriovenous malformation. Case report. J Neurosurg 45:338–341, 1976

    • Search Google Scholar
    • Export Citation
  • 29.

    Harding AE, , Kendall B, & Leonard TJK, et al: Intracerebral haemorrhage complicating dural arteriovenous fistula: a report of two cases. J Neurol Neurosurg Psychiatry 47:905911, 1984 Harding AE, Kendall B, Leonard TJK, et al: Intracerebral haemorrhage complicating dural arteriovenous fistula: a report of two cases. J Neurol Neurosurg Psychiatry 47:905–911, 1984

    • Search Google Scholar
    • Export Citation
  • 30.

    Hardy RW Jr, , Costin JA, & Weinstein M, et al: External carotid cavernous fistula treated by transfemoral embolization. Surg Neurol 9:255256, 1978 Hardy RW Jr, Costin JA, Weinstein M, et al: External carotid cavernous fistula treated by transfemoral embolization. Surg Neurol 9:255–256, 1978

    • Search Google Scholar
    • Export Citation
  • 31.

    Houser OW, , Baker HL Jr, & Rhoton AL Jr, et al: Intracranial dural arteriovenous malformations. Radiology 105:5564, 1972 Houser OW, Baker HL Jr, Rhoton AL Jr, et al: Intracranial dural arteriovenous malformations. Radiology 105:55–64, 1972

    • Search Google Scholar
    • Export Citation
  • 32.

    Houser OW, , Campbell JK, & Campbell RJ, et al: Arteriovenous malformations affecting the transverse dural venous sinus—an acquired lesion. Mayo Clin Proc 54:651661, 1979 Houser OW, Campbell JK, Campbell RJ, et al: Arteriovenous malformations affecting the transverse dural venous sinus—an acquired lesion. Mayo Clin Proc 54:651–661, 1979

    • Search Google Scholar
    • Export Citation
  • 33.

    Hugosson R, & Bergström K: Surgical treatment of dural arteriovenous malformation in the region of the sigmoid sinus. J Neurol Neurosurg Psychiatry 37:97101, 1974 Hugosson R, Bergström K: Surgical treatment of dural arteriovenous malformation in the region of the sigmoid sinus. J Neurol Neurosurg Psychiatry 37:97–101, 1974

    • Search Google Scholar
    • Export Citation
  • 34.

    Ishii K, , Goto K, & Ihara K, et al: High-risk dural arteriovenous fistulae of the transverse and sigmoid sinuses. AJNR 8:11131120, 1987 Ishii K, Goto K, Ihara K, et al: High-risk dural arteriovenous fistulae of the transverse and sigmoid sinuses. AJNR 8:1113–1120, 1987

    • Search Google Scholar
    • Export Citation
  • 35.

    Kataoka K, & Taneda M: Angiographic disappearance of multiple dural arteriovenous malformations. Case report. J Neurosurg 60:12751278, 1984 Kataoka K, Taneda M: Angiographic disappearance of multiple dural arteriovenous malformations. Case report. J Neurosurg 60:1275–1278, 1984

    • Search Google Scholar
    • Export Citation
  • 36.

    Kendall B: Percutaneous embolic occlusion of dural arteriovenous malformation. Br J Radiol 46:520523, 1973 Kendall B: Percutaneous embolic occlusion of dural arteriovenous malformation. Br J Radiol 46:520–523, 1973

    • Search Google Scholar
    • Export Citation
  • 37.

    Kerber CW, & Newton TH: The macro and microvasculature of the dura mater. Neuroradiology 6:175179, 1973 Kerber CW, Newton TH: The macro and microvasculature of the dura mater. Neuroradiology 6:175–179, 1973

    • Search Google Scholar
    • Export Citation
  • 38.

    King WA, & Martin NA: Intracerebral hemorrhage due to dural arteriovenous malformations and fistulae. Neurosurg Clin North Am 3:577590, 1992 King WA, Martin NA: Intracerebral hemorrhage due to dural arteriovenous malformations and fistulae. Neurosurg Clin North Am 3:577–590, 1992

    • Search Google Scholar
    • Export Citation
  • 39.

    Kobayashi H, , Hayashi M, & Noguchi Y, et al: Dural arteriovenous malformations in the anterior cranial fossa. Surg Neurol 30:396401, 1988 Kobayashi H, Hayashi M, Noguchi Y, et al: Dural arteriovenous malformations in the anterior cranial fossa. Surg Neurol 30:396–401, 1988

    • Search Google Scholar
    • Export Citation
  • 40.

    Kosnik EJ, , Hunt WE, & Miller CA: Dural arteriovenous malformations. J Neurosurg 40:322329, 1974 Kosnik EJ, Hunt WE, Miller CA: Dural arteriovenous malformations. J Neurosurg 40:322–329, 1974

    • Search Google Scholar
    • Export Citation
  • 41.

    Lalwani AK, , Dowd CF, & Halbach VV: Grading venous restrictive disease in patients with dural arteriovenous fistulas of the transverse/sigmoid sinus. J Neurosurg 79:1115, 1993 Lalwani AK, Dowd CF, Halbach VV: Grading venous restrictive disease in patients with dural arteriovenous fistulas of the transverse/sigmoid sinus. J Neurosurg 79:11–15, 1993

    • Search Google Scholar
    • Export Citation
  • 42.

    Lasjaunias P, , Chiu M, & Ter Brugge K, et al: Neurological manifestations of intracranial dural arteriovenous malformations. J Neurosurg 64:724730, 1986 Lasjaunias P, Chiu M, Ter Brugge K, et al: Neurological manifestations of intracranial dural arteriovenous malformations. J Neurosurg 64:724–730, 1986

    • Search Google Scholar
    • Export Citation
  • 43.

    Lewis AI, , Tomsick TA, & Tew JM Jr: Management of tentorial dural arteriovenous malformations: transarterial embolization combined with stereotactic radiation or surgery. J Neurosurg 81:851859, 1994 Lewis AI, Tomsick TA, Tew JM Jr: Management of tentorial dural arteriovenous malformations: transarterial embolization combined with stereotactic radiation or surgery. J Neurosurg 81:851–859, 1994

    • Search Google Scholar
    • Export Citation
  • 44.

    Link MJ, , Coffey RJ, & Nichols DA, et al: The role of radiosurgery and particulate embolization in the treatment of dural arteriovenous fistulas. J Neurosurg 84:804809, 1996 Link MJ, Coffey RJ, Nichols DA, et al: The role of radiosurgery and particulate embolization in the treatment of dural arteriovenous fistulas. J Neurosurg 84:804–809, 1996

    • Search Google Scholar
    • Export Citation
  • 45.

    Lucas CP, , Zabramski JM, & Spetzler RF, et al: Treatment for intracranial dural arteriovenous malformations: a meta-analysis from the English language literature. Neurosurgery 40:11191132, 1997 Lucas CP, Zabramski JM, Spetzler RF, et al: Treatment for intracranial dural arteriovenous malformations: a meta-analysis from the English language literature. Neurosurgery 40:1119–1132, 1997

    • Search Google Scholar
    • Export Citation
  • 46.

    Magidson MA, & Weinberg PE: Spontaneous closure of a dural arteriovenous malformation. Surg Neurol 6:107110, 1976 Magidson MA, Weinberg PE: Spontaneous closure of a dural arteriovenous malformation. Surg Neurol 6:107–110, 1976

    • Search Google Scholar
    • Export Citation
  • 47.

    Malik GM, , Pearce JE, & Ausman JI, et al: Dural arteriovenous malformations and intracranial hemorrhage. Neurosurgery 15:332339, 1984 Malik GM, Pearce JE, Ausman JI, et al: Dural arteriovenous malformations and intracranial hemorrhage. Neurosurgery 15:332–339, 1984

    • Search Google Scholar
    • Export Citation
  • 48.

    Manaka S, , Izawa M, & Nawata H: Dural arteriovenous malformation treated by artificial embolization with liquid silicone. Surg Neurol 7:6365, 1977 Manaka S, Izawa M, Nawata H: Dural arteriovenous malformation treated by artificial embolization with liquid silicone. Surg Neurol 7:63–65, 1977

    • Search Google Scholar
    • Export Citation
  • 49.

    Markham JW: Arteriovenous fistula of the middle meningeal artery and the greater petrosal sinus. J Neurosurg 18:847848, 1961 Markham JW: Arteriovenous fistula of the middle meningeal artery and the greater petrosal sinus. J Neurosurg 18:847–848, 1961

    • Search Google Scholar
    • Export Citation
  • 50.

    Martin NA, , King WA, & Wilson CB, et al: Management of dural arteriovenous malformations of the anterior cranial fossa. J Neurosurg 72:692697, 1990 Martin NA, King WA, Wilson CB, et al: Management of dural arteriovenous malformations of the anterior cranial fossa. J Neurosurg 72:692–697, 1990

    • Search Google Scholar
    • Export Citation
  • 51.

    Nabors MW, , Azzam CJ, & Albanna FJ, et al: Delayed postoperative dural arteriovenous malformations: report of two cases. J Neurosurg 66:768772, 1987 Nabors MW, Azzam CJ, Albanna FJ, et al: Delayed postoperative dural arteriovenous malformations: report of two cases. J Neurosurg 66:768–772, 1987

    • Search Google Scholar
    • Export Citation
  • 52.

    Nakstad PH, , Bakke SJ, & Hald JK: Embolization of intracranial arteriovenous malformations and fistulas with polyvinyl alcohol particles and platinum fiber coils. Neuroradiology 34:348351, 1992 Nakstad PH, Bakke SJ, Hald JK: Embolization of intracranial arteriovenous malformations and fistulas with polyvinyl alcohol particles and platinum fiber coils. Neuroradiology 34:348–351, 1992

    • Search Google Scholar
    • Export Citation
  • 53.

    Newton TH, & Cronqvist S: Involvement of the dural arteries in intracranial arteriovenous malformations. Radiology 93:10711078, 1969 Newton TH, Cronqvist S: Involvement of the dural arteries in intracranial arteriovenous malformations. Radiology 93:1071–1078, 1969

    • Search Google Scholar
    • Export Citation
  • 54.

    Pierot L, , Chiras J, & Meder JF, et al: Dural arteriovenous fistulas of the posterior fossa draining into subarachnoid veins. AJNR 13:315323, 1992 Pierot L, Chiras J, Meder JF, et al: Dural arteriovenous fistulas of the posterior fossa draining into subarachnoid veins. AJNR 13:315–323, 1992

    • Search Google Scholar
    • Export Citation
  • 55.

    Roy D, & Raymond J: The role of transvenous embolization in the treatment of intracranial dural arteriovenous fistulas. Neurosurgery 40:11331144, 1997 Roy D, Raymond J: The role of transvenous embolization in the treatment of intracranial dural arteriovenous fistulas. Neurosurgery 40:1133–1144, 1997

    • Search Google Scholar
    • Export Citation
  • 56.

    Sundt TM Jr, & Piepgras DG: The surgical approach to arteriovenous malformations of the lateral and sigmoid dural sinuses. J Neurosurg 59:3239, 1983 Sundt TM Jr, Piepgras DG: The surgical approach to arteriovenous malformations of the lateral and sigmoid dural sinuses. J Neurosurg 59:32–39, 1983

    • Search Google Scholar
    • Export Citation
  • 57.

    Thompson BG, , Doppman JL, & Oldfield EH: Treatment of cranial dural arteriovenous fistulae by interruption of leptomeningeal venous drainage. J Neurosurg 80:617623, 1994 Thompson BG, Doppman JL, Oldfield EH: Treatment of cranial dural arteriovenous fistulae by interruption of leptomeningeal venous drainage. J Neurosurg 80:617–623, 1994

    • Search Google Scholar
    • Export Citation
  • 58.

    Tomlinson FH, , Rüfenacht DA, & Sundt TM Jr, et al: Arteriovenous fistulas of the brain and the spinal cord. J Neurosurg 79:1627, 1993 Tomlinson FH, Rüfenacht DA, Sundt TM Jr, et al: Arteriovenous fistulas of the brain and the spinal cord. J Neurosurg 79:16–27, 1993

    • Search Google Scholar
    • Export Citation
  • 59.

    Urdanibia JF, , Silvela J, & Soto M: Occipital dural arteriovenous malformations. Neuroradiology 7:5764, 1974 Urdanibia JF, Silvela J, Soto M: Occipital dural arteriovenous malformations. Neuroradiology 7:57–64, 1974

    • Search Google Scholar
    • Export Citation
  • 60.

    Urtasun F, , Biondi A, & Casaco A, et al: Cerebral dural arteriovenous fistulas: percutaneous transvenous embolization. Radiology 199:209217, 1996 Urtasun F, Biondi A, Casaco A, et al: Cerebral dural arteriovenous fistulas: percutaneous transvenous embolization. Radiology 199:209–217, 1996

    • Search Google Scholar
    • Export Citation
  • 61.

    Wallner RJ, & Fischer M: Scintiangiographic demonstration of a dural arteriovenous malformation. J Nucl Med 23:793794, 1982 Wallner RJ, Fischer M: Scintiangiographic demonstration of a dural arteriovenous malformation. J Nucl Med 23:793–794, 1982

    • Search Google Scholar
    • Export Citation

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