Cerebral Dural Arteriovenous Fistulas

Dural arteriovenous fistulas are contained within the dural leaflets, making them a unique shunt of central nervous system. Those without cortical venous drainage may be found incidentally or in workup pulsatile tinnitus ocular symptoms. These symptoms also occur setting drainage, but additionally, seizures, neurological deficits, even frank hemorrhage because disruption normal parenchymal outflow and resultant hypertension. In debilitating symptomatology management is most often via endovascular therapy transarterial transvenous access to fistulous site subsequent obliteration. Surgical disconnection radiosurgical obliteration excellent alternative treatment options for appropriately selected lesions as well. this article, background demographic natural history data well approaches reviewed.