Abstract:
PURPOSE OF REVIEW:To summarize clinical key points, diagnostic features, and results of imaging and therapy of spinal dural arteriovenous fistula (SDAVF). RECENT FINDINGS:SDAVF accounts for 70% of spinal arteriovenous malformation with an annual incidence of 5-10 cases per million. At least 80% of patients are male, and more than 66% of patients are in the sixth and seventh decade of life indicating preponderance of gender and age. Thrombophilia is not a predisposing factor of disease. Clinical course is predominated by symptoms of congestive myelopathy, but subarachnoid hemorrhage may occur. Double SDAVF is a rare problem in the management of disease. Magnetic resonance imaging has replaced myelography as screening procedure. Contrast-enhanced magnetic resonance angiography and multislice computerized tomographic angiography may facilitate diagnostic procedure, however, spinal angiography is still required to confirm diagnosis. Treatment by permanent occlusion of fistula results in clinical improvement in 70% of cases. Microsurgical shunt interruption has proven secure and reliable. Endovascular shunt embolization has been established as a standardized procedure, but occlusion rates are still lower than in surgical treatment. SUMMARY:Advances have been made in diagnosis and treatment of SDAVF, but the disease is still not completely understood.
journal_name
Curr Opin Neuroljournal_title
Current opinion in neurologyauthors
Koch Cdoi
10.1097/01.wco.0000200547.22292.11subject
Has Abstractpub_date
2006-02-01 00:00:00pages
69-75issue
1eissn
1350-7540issn
1473-6551pii
00019052-200602000-00012journal_volume
19pub_type
杂志文章,评审abstract:PURPOSE OF REVIEW:Health-related quality of life is a new outcome variable in neurology. Several generic measures aim at assessing this variable in adults with neurological diseases. Disease-specific measures are still rare; however, individuals with neurological diseases frequently suffer from cognitive impairment, ye...
journal_title:Current opinion in neurology
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journal_title:Current opinion in neurology
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journal_title:Current opinion in neurology
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journal_title:Current opinion in neurology
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journal_title:Current opinion in neurology
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journal_title:Current opinion in neurology
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更新日期:2011-12-01 00:00:00
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journal_title:Current opinion in neurology
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更新日期:1997-12-01 00:00:00
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journal_title:Current opinion in neurology
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更新日期:1999-12-01 00:00:00
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journal_title:Current opinion in neurology
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更新日期:2012-06-01 00:00:00
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journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
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更新日期:2019-10-01 00:00:00
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journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
doi:10.1097/00019052-200002000-00010
更新日期:2000-02-01 00:00:00
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journal_title:Current opinion in neurology
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更新日期:2003-12-01 00:00:00
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更新日期:2013-12-01 00:00:00
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更新日期:2010-08-01 00:00:00
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journal_title:Current opinion in neurology
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更新日期:2011-12-01 00:00:00
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journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
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更新日期:2012-02-01 00:00:00
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更新日期:2001-04-01 00:00:00
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更新日期:2004-02-01 00:00:00
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更新日期:2012-08-01 00:00:00
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更新日期:2005-06-01 00:00:00
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更新日期:2017-02-01 00:00:00
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更新日期:2015-10-01 00:00:00