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Updated: Jul 19, 2025
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
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Intracranial Dural Arteriovenous Fistulas
Mohamad Abdalkader1, Thanh N Nguyen2, Francesco Diana3
1Department of Radiology, Boston Medical Center, Boston, Massachusetts.
Seminars in Neurology
|August 10, 2023
Summary
Dural arteriovenous fistulas (DAVFs) are abnormal brain vessel connections. This review covers DAVF epidemiology, pathophysiology, and management, aiming to improve understanding and patient care for these potentially serious conditions.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Dural arteriovenous fistulas (DAVFs) represent abnormal connections between meningeal arteries and the dural venous system.
- While many DAVFs are asymptomatic and require no intervention, a subset poses risks of hemorrhage or neurological deficits, necessitating treatment.
Approach:
- This review synthesizes current knowledge on intracranial DAVFs.
- It examines epidemiology, pathophysiology, clinical manifestations, diagnostic imaging, classification systems, natural history, and therapeutic strategies.
Key Points:
- Understanding DAVF presentation, imaging findings (e.g., CT, MRI, angiography), and validated classification systems is crucial for risk stratification.
- Management decisions involve balancing risks of intervention against the natural history of untreated DAVFs.
Conclusions:
- Comprehensive knowledge of DAVFs is essential for accurate diagnosis, risk assessment, and tailored management plans.
- This review aims to enhance clinical understanding and guide patient care for intracranial DAVFs.
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