nach oben

Erschienen in:

01.07.2013 | Cardiovascular Disease and Stroke (D Leifer and JE Safdieh, Section Editors)

Spinal Dural Arteriovenous Fistulas: A Review

verfasst von: Joshua Marcus, Justin Schwarz, I. Paul Singh, Dimitri Sigounas, Jared Knopman, Y. Pierre Gobin, Athos Patsalides

Erschienen in: Current Atherosclerosis Reports | Ausgabe 7/2013

Einloggen, um Zugang zu erhalten

Abstract

Spinal dural arteriovenous fistulas (SDAVF) are a rare pathologic entity with a diverse and often misleading clinical presentation. While digital subtraction spinal angiography remains the gold standard, recent advances in noninvasive vascular imaging have improved the diagnosis of SDAVF. As this condition can result in permanent spinal cord injury, all patients require treatment, which consists of surgical or endovascular occlusion of the fistula. Failure to recognize and treat SDAVF in a timely fashion can result in irreversible neurologic disability, including myelopathy, lower extremity weakness and bowel, bladder and sexual dysfunction. This article reviews the clinical features, pathogenesis, radiographic features and current treatment strategies for these complex lesions.

Merland JJ, Richie MC, Chiras J. Intraspinal extramedullary arteriovenous fistulae drinaing into the medullary veins. J Neuroradiol. 1980;7:271–320.PubMed

Schaat TJ, Salzman KL, Stevens EA. Sacral origin of a dural arteriovenous fistula: case report and review. Spine. 2002;27:893–7.PubMedCrossRef

Van Dijk JM, TerBrugge KG, Willinsky RA, Farb RI, Wallace MC. Multidisciplinary management of spinal dural arteriovenous fistulas: clinical presentation and long-term follow-up in 49 patients. Stroke. 2002;33(6):1578–83.PubMedCrossRef

Gobin YP, Houdart E, Casasco A, et al. Endovascular therapy for arteriovenous malformations and fistulae in the spinal cord. Semin Interv Radiol. 1993;10:227–42.CrossRef

Aminoff MJ, Logue V. The prognosis of patients with spinal vascular malformations. Brain. 1974;97:211–8.PubMedCrossRef

• Wang D, Yang N, Zhang P, Xu S, Li X, Zhao P, Huang B, Li X. The diagnosis of spinal dural arteriovenous fistulas. Spine (Phila Pa 1976). 2013 Feb 1. [Epub ahead of print] This article provides insight into radiologic signs for SDAVF and current advances in imaging techniques for diagnosis.

•• Kirsch M, Berg-Dammer E, Musahl C, Bazner H, Kuhne D, Henkes H. Endovascular management of spinal dural arteriovenous fistulas in 78 patients. Neuroradiology 2013 Jan 19. This article provides evidence of equal efficacy of endovascular treatment when compared to surgical treatment, a relatively recent development.

Aviv RI, Shad A, Tomlinson G, et al. Cervical dural arteriovenous fistulae manifesting as subarachnoid hemorrhage: report of two cases and literature review. AJNR Am J Neuroradiol. 2004;25:854–8.PubMed

Koch C, Gottschalk S, Giese A. Dural arteriovenous fistula of the lumbar spine presenting with subarachnoid hemorrhage. Case report and review of the literature. J Neurosurg. 2004;100(4 Suppl Spine):385–91.PubMed

10.

Willinsky R, TerBrugge K, Lasjaunias P, et al. The variable presentations of craniocervical and cervical dural arteriovenous malformations. Surg Neurol. 1990;34:118–23.PubMedCrossRef

11.

Jellema K, Tijssen CC, van Gijn J. Spinal dural arteriorvenous fistulae: clinical features and long-term results. Neurosurgery. 2008;62:159–66.CrossRef

12.

Narvid J, Hetts SW, Larsen D, Neuhaus J, Singh TP, McSwain H, et al. Spinal dural arteriovenous fistulae: clinical features and long-term results. Neurosurgery. 2008;62(1):159–66.PubMedCrossRef

13.

Gobin YP. Classification and endovascular treatment of spinal cord arteriovenous malformations and fistulas. J Stroke Cerebrovasc Dis. 1997;6:282–6.PubMedCrossRef

14.

Patsalides A, Santillan A, Knopman J, Tsiouris AJ, Riina HA, Gobin YP. Endovascular management of spinal dural arteriovenous fistulas. J NeuroIntervent Surg. 2011;3:80–4.CrossRef

15.

Krings T. Vascular malformations of the spine and spinal cord: anatomy, classification, treatment. Klin Neuroradiol. 2010;20:5–24.CrossRef

16.

Kai Y, Hamada J, Morioka M, et al. Arteriovenous fistulas at the cervicomedullary junction presenting with subarachnoid hemorrhage: six case reports with special reference to the angiographic pattern of venous drainage. AJNR Am J Neuroradiol. 2005;26:1949–54.PubMed

17.

Hassler W, Thron A, Grote EH. Hemodynamics of spinal dural arteriovenous fistulas. An intraoperative study. J Neurosurg. 1989;70:360–70.PubMedCrossRef

18.

Hurst RW, Kenyon LC, Lavi E, et al. Spinal dural arteriovenous fistula: the pathology of venous hypertensive myelopathy. Neurology. 1995;45:1309–13.PubMedCrossRef

19.

Jellema K, Tijssen CC, van Gijn J. Spinal dural arteriovenous fistulas: a congestive myelopathy that initially mimics a peripheral nerve disorder. Brain. 2006;129:3150–64.PubMedCrossRef

20.

Foix C, Alajouanine T. La myélite nécrotique subaguie. Rev Neurol. 1926;2:1–42.

21.

Do HM, Jensen ME, Cloft HJ, et al. Dural arteriovenous fistula of the cervical spine presenting with subarachnoid hemorrhage. AJNR Am J Neuroradiol. 1999;20:348–50.PubMed

22.

Fassett DR, Rammos SK, Patel P, et al. Intracranial subarachnoid hemorrhage resulting from cervical spine dural arteriovenous fistulas: literature review and case presentation. Neurosurg Focus. 2009;26:E4.PubMedCrossRef

23.

Guo LM, Zhou HY, Xu JW, et al. Dural arteriovenous fistula at the foramen magnum presenting with subarachnoid hemorrhage: case reports and literature review. Eur J Neurol. 2010;17:684–91.PubMedCrossRef

24.

Takahashi K, Hayashi S, Ootani T, et al. Dural arteriovenous fistula manifesting as subarachnoid hemorrhage at the craniocervical junction. A case report. No Shinkei Geka. 2008;36:901–6.PubMed

25.

Houdart E, Gobin YP, Casasco A, et al. A proposed angiographic classification of intracranial arteriovenous fistulae and malformations. Neuroradiology. 1993;35:381–5.PubMedCrossRef

26.

Mascalchi M, Mangiafico S, Marin E. Hematomyelia complicating a spinal dural arteriovenous fistula. Report of a case. J Neuroradiol. 1998;25:140–3.PubMed

27.

Gilbertson JR, Miller GM, Goldman MS, et al. Spinal dural arteriovenous fistulas: MR and myelographic findings. AJNR Am J Neuroradiol. 1995;16:2049–57.PubMed

28.

Da Costa L, Dehdashti AR, TerBrugge KG. Spinal cord vascular shunts: spinal cord vascular malformations and dural arteriovenous fistulas. Neurosurg Focus. 2009;26(1):E6.PubMedCrossRef

29.

• Muralidharan R, Saladino A, Lanzino G, Atkinson JL, Rabinstein AA. The clinical and radiological presentation of spinal dural arteriovenous fistula. Spine (Phila Pa 1976). 2011;36(25):E1641–7. This article provides useful and current information on post-treatment outcomes and identifies possible useful prognostic factors, including absence of sensory level and presence of exertional claudication.CrossRef

30.

Miller TR, Eskey CJ, Mamourian AC. Absence of abnormal vessels in the subarachnoid space on conventional magnetic resonance imaging in patients with spinal dural arteriovenous fistulas. Neurosurg Focus. 2012;32(5):E15.PubMedCrossRef

31.

Niimi Y, Berenstein A, Setton A, et al. Embolization of spinal dural arteriovenous fistulae: results and follow-up. Neurosurgery. 1997;40:675–82. discussion 682–3.PubMedCrossRef

32.

Song JK, Gobin YP, Duckwiler GR, et al. N-butyl 2-cyanoacrylate embolization of spinal dural arteriovenous fistulae. AJNR Am J Neuroradiol. 2001;22:40–7.PubMed

33.

Aghakhani N, Parker F, David P, et al. Curable cause of paraplegia: spinal dural arteriovenous fistulae. Stroke. 2008;39:2756–9.PubMedCrossRef

34.

Bowen BC, Fraser K, Kochan JP, et al. Spinal dural arteriovenous fistulas: evaluation with MR angiography. AJNR Am J Neuroradiol. 1995;16:2029–43.PubMed

35.

Luetmer PH, Lane JI, Gilbertson JR, et al. Preangiographic evaluation of spinal dural arteriovenous fistulas with elliptic centric contrast-enhanced MR angiography and effect on radiation dose and volume of iodinated contrast material. AJNR Am J Neuroradiol. 2005;26:711–8.PubMed

36.

Binkert CA, Kollias SS, Valavanis A. Spinal cord vascular disease: characterization with fast three-dimensional contrast-enhanced MR angiography. AJNR Am J Neuroradiol. 1999;20:1785–93.PubMed

37.

Yamaguchi S, Nagayama T, Eguchi K, Takeda M, Arita K, Kurisu K. Accuracy and pitfalls of multidetector-row computed tomography in detecting spinal dural arteriovenous fistulas. J Neurosurg Spine. 2010;12(3):243–8.PubMedCrossRef

38.

Osanai T, Hida K, Asano T, et al. The Multi-detector-row CT angiography for diagnosis of spinal dural arteriovenous fistula. No Shinkei Geka. 2012;40:695–703.PubMed

39.

Boeckh-Behrens T, Bitterling H, Schichor C, Bruckmann H, Seelos K. Improved localization of spinal AV fistulas using contrast-enhanced MR angiography at 3T. Rofo. 2010;182(1):53–7.PubMedCrossRef

40.

Krings T, Geibprasert S. Spinal dural arteriovenous fistulas. AJNR Am J Neuroradiol. 2009;30:639–48.PubMedCrossRef

41.

Krings T, Lasjaunias PL, Hans FJ, et al. Imaging in spinal vascular disease. Neuroimaging Clin N Am. 2007;17:57–72.PubMedCrossRef

42.

Jellema K, Tijssen CC, Sluzewski M, et al. Spinal dural arteriovenous fistulas—an underdiagnosed disease. A review of patients admitted to the spinal unit of a rehabilitation center. J Neurol. 2006;253:159–62.PubMedCrossRef

43.

Brunereau L, Gobin YP, Meder JF, et al. Intracranial dural arteriovenous fistulas with spinal venous drainage: relation between clinical presentation and angiographic findings. AJNR Am J Neuroradiol. 1996;17:1549–54.PubMed

44.

Gobin YP, Rogopoulos A, Aymard A, et al. Endovascular treatment of intracranial dural arteriovenous fistulas with spinal perimedullary venous drainage. J Neurosurg. 1992;77:718–23.PubMedCrossRef

45.

Patsalides A, Tzatha E, Stubgen JP, et al. Intracranial dural arteriovenous fistula presenting as an enhancing lesion of the medulla. J Neurointerv Srg. 2010;2(4):390–3.CrossRef

46.

Cenzato M, Debernadi A, Stefini R, D’Aliberti G, Piparo M, Talamonti G, et al. Spinal dural arteriovenous fistulas: outcome and prognostic factors. Neurosurg Focus. 2012;32(5):E11.PubMedCrossRef

47.

Ruiz-Juretschke F, Perez-Calvo JM, Castro E, Garcia-Leal R, Mateo-Sierra O, Fortea F, et al. A single-center, long-term study of spinal dural arteriovenous fistulas with multidisciplinary treatment. J Clin Neurosci. 2011;18(12):1662–8.PubMedCrossRef

48.

Hall WA, Oldfield EH, Doppman JL. Recanalization of spinal arteriovenous malformations following embolization. J Neurosurg. 1989;70(5):714–20.PubMedCrossRef

49.

Andres RH, Barth A, Guzman R, Remonda L, El-Koussy M, Seiler RW, et al. Endovascular and surgical treatment of spinal dural arteriovenous fistulas. Neuroradiology. 2008;50(10):869–76.PubMedCrossRef

50.

Steinmetz MP, Chow MM, Krishnaney AA, Andrews-Hinders D, Benzel EC, Masaryk TJ, et al. Outcome after the treatment of spinal dural arteriovenous fistulae: a contemporary single-institution series and meta-analysis. Neurosurgery. 2004;55:77–88.PubMedCrossRef

51.

•• Wakao N, Imagama S, Ito Z, Ando K, Hirano K, Tauchi R, et al. Clinical outcome of treatments for spinal dural arteriovenous fistulas: results of multivariate analysis and review of the literature. Spine. 2012;37(6):482–8. This meta-analysis provides evidence of equal efficacy of endovascular treatment when compared to surgical treatment, a relatively recent development.PubMedCrossRef

52.

Ropper AE, Gross BA, Du R. Surgical treatment of Type I spinal dural arteriovenous fistulas. Neurosurg Focus. 2012;32(5):E3.PubMedCrossRef

53.

Sivakumar W, Zada G, Yashar P, Giannotta SL, Teitelbaum G, Larsen DW. Endovascular management of spinal dural arteriovenous fistulas. A review. Neurosurg Focus. 2009;26(5):E15.PubMedCrossRef

54.

Sherif C, Gruber A, Bavinzski G, Standhardt H, Widhalm G, Gibson D, et al. Long-term outcome of a multidisciplinary concept of spinal dural arteriovenous fistulae treatment. Neuroradiology. 2008;50(1):67–74.PubMedCrossRef

55.

Shinoyama M, Endo T, Takahash T, Shimizu H, Takahashi A, Suzuki M, et al. Long-term outcome of cervical and thoracolumbar dural arteriovenous fistulas with emphasis on sensory disturbance and neuropathic pain. World Neurosurg. 2010;73(4):401–8.PubMedCrossRef

56.

Kaufmann TJ, Morris JM, Saladino A, Mandrekar JN, Lanzino G. Magnetic resonance imaging findings in treated spinal dural arteriovenous fistulas: lack of correlation with clinical outcomes. J Neurosurg Spine. 2011;14(4):548–54.PubMedCrossRef

57.

Prieto R, Pascual JM, Gutierrez R, Santos E. Recovery from paraplegia after the treatment of spinal dural arteriovenous fistula: a case report and review of the literature. Acta Neurochir (Wien). 2009;151(11):1385–97.CrossRef

Titel: Spinal Dural Arteriovenous Fistulas: A Review
verfasst von: Joshua Marcus
Justin Schwarz
I. Paul Singh
Dimitri Sigounas
Jared Knopman
Y. Pierre Gobin
Athos Patsalides
Publikationsdatum: 01.07.2013
Verlag: Springer US
Erschienen in: Current Atherosclerosis Reports / Ausgabe 7/2013
Print ISSN: 1523-3804
Elektronische ISSN: 1534-6242
DOI: https://doi.org/10.1007/s11883-013-0335-7

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

25.04.2024 | Hypotonie | Nachrichten

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Spinal Dural Arteriovenous Fistulas: A Review

Abstract

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Viel Bewegung in der Parkinsonforschung

Adjuvante Immuntherapie verlängert Leben bei RCC

Update Innere Medizin

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 7/2013

Mineralocorticoid Receptors in Vascular Disease: Connecting Molecular Pathways to Clinical Implications

Use of Perfusion Imaging and Other Imaging Techniques to Assess Risks/Benefits of Acute Stroke Interventions

Stroke and Obstructive Sleep Apnea: A Review

Prenotification and Other Factors Involved in Rapid tPA Administration

Management of the Stroke Patient with Patent Foramen Ovale: New Insights and Persistent Questions in the Wake of Recent Randomized Trials

C-Peptide and Its Career from Innocent Bystander to Active Player in Diabetic Atherogenesis

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Viel Bewegung in der Parkinsonforschung

Adjuvante Immuntherapie verlängert Leben bei RCC

Update Innere Medizin