The importance of venous hypertension in the formation of dural arteriovenous fistulas: a case report of multiple fistulas remote from sinus thrombosis |
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Authors: | N Kusaka K Sugiu A Katsumata H Nakashima T Tamiya T Ohmoto |
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Institution: | (1) Department of Neurological Surgery, Okayama University Medical School, 2–5–1 Shikata-cho, Okayama 700–8558, Japan e-mail: kusaka@bea.hi-ho.ne.jp Tel.: + 81-8 62-35 73 35 Fax: + 81-8 62-27 01 91, JP |
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Abstract: | Various hypotheses have been reported concerning the pathogenesis of dural arteriovenous fistulas (DAVFs). However, it is
still controversial whether sinus thrombosis or venous hypertension has a greater influence on the formation of DAVFs. We
present a rare case of multiple DAVFs that developed after sinus thrombosis. Chronic venous hypertension secondary to sinus
thrombosis in the left transverse-sigmoid sinus induced the multiple DAVFs, including one in the right cavernous sinus, which
was remote from the occluded sinus. This case indicates the importance of venous hypertension in the formation of DAVFs.
Received: 27 November 2000/Accepted: 13 March 2001 |
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Keywords: | Multiple dural arteriovenous fistulas Venous hypertension Sinus thrombosis |
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