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Updated: Jun 2, 2026
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Multiple spinal and cranial dural arteriovenous fistulas.
Jai Jai Shiva Shankar1, Karel Terbrugge, Timo Krings
1Department of Medical Imaging, Division of Neuroradiology, Toronto Western Hospital, Toronto. shivajai1@gmail.com
Journal of Neurosurgery. Spine
|April 19, 2011
Summary
Multiple cranial and spinal dural arteriovenous fistulas (DAVFs) are rare but can occur synchronously. This case highlights the importance of thorough evaluation for multiple DAVFs in patients with suggestive symptoms.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Dural arteriovenous fistulas (DAVFs) are abnormal connections between dural arteries and veins.
- Synchronous occurrence of cranial and spinal DAVFs is documented but infrequent.
- Vague visual symptoms can be an initial presentation of cranial DAVFs.
Observation:
- A patient presented with vague visual symptoms and was diagnosed with multiple cranial DAVFs.
- Initial cranial DAVF treatment involved endovascular and surgical methods.
- Follow-up revealed multiple separate spinal DAVFs at various cervical levels.
Findings:
- The patient had multiple cranial DAVFs, including one with cortical venous reflux.
- Multiple spinal DAVFs were identified at cervical levels C1-C6.
- Retrospective analysis suggested pre-existing spinal DAVFs at the time of initial presentation.
Implications:
- This case underscores the existence of multiple DAVFs, both cranial and spinal.
- Thorough diagnostic imaging is crucial when evaluating patients with suspected DAVFs.
- Early detection and management of multiple DAVFs can potentially improve patient outcomes.
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