PDF(Pubmed)
Abstract：
UNASSIGNED: Dural arteriovenous fistulas (DAVFs) involving superior petrosal sinus (SPS) and superior petrosal vein (SPV) are extremely rare. The pathogenesis of these fistulas remains unclear. We are illustrating 2 cases of DAVFs involving the superior petrosal sinus and veins associated with venous sinus thrombosis with a literature review.
UNASSIGNED: We reviewed the literature using the PRISMA (preferred reporting items for systematic reviews and meta-analyses) guidelines focusing on DAVFs involving the SPS and/or SPV. Additionally, we searched for additional articles through the reference lists of the included studies.
UNASSIGNED: Our review yielded 20 articles from 1997 until 2022 involving 33 patients with 34 fistulas, including our 2 patients. The mean age was 55.1 ± 12.9 years (range 25-85), 54.5% were males (n = 18). The patients presented with hemorrhage in 36.4% (n = 12), and progressive myelopathy in 30.3% (n = 10). Most fistulas often had arterial supply from MMA, MHT, and/or OA. The fistulas had infratentorial drainage in 64.71% (n = 22), supratentorial drainage in 23.53% (n = 8), and both supra and infratentorial drainage in 11.76% (n = 4). In 27.3% (n = 9), cerebral venous thrombosis was mentioned or identified. Endovascular treatment was performed in 47.1% of cases (n = 16), surgery in 29.4% (n = 10), and combination of treatments in 23.5% (n = 8). A total of 30.3% (n = 10) of cases had incomplete recovery or poor result.
UNASSIGNED: DAVFs involving the SPS and/or SPV are associated with aggressive natural history, requiring early diagnosis and prompt treatment, leading to good prognosis. These fistulas may be acquired in origin, probably secondary to cerebral venous thrombosis.
UNASSIGNED: We reviewed the literature using the PRISMA (preferred reporting items for systematic reviews and meta-analyses) guidelines focusing on DAVFs involving the SPS and/or SPV. Additionally, we searched for additional articles through the reference lists of the included studies.
UNASSIGNED: Our review yielded 20 articles from 1997 until 2022 involving 33 patients with 34 fistulas, including our 2 patients. The mean age was 55.1 ± 12.9 years (range 25-85), 54.5% were males (n = 18). The patients presented with hemorrhage in 36.4% (n = 12), and progressive myelopathy in 30.3% (n = 10). Most fistulas often had arterial supply from MMA, MHT, and/or OA. The fistulas had infratentorial drainage in 64.71% (n = 22), supratentorial drainage in 23.53% (n = 8), and both supra and infratentorial drainage in 11.76% (n = 4). In 27.3% (n = 9), cerebral venous thrombosis was mentioned or identified. Endovascular treatment was performed in 47.1% of cases (n = 16), surgery in 29.4% (n = 10), and combination of treatments in 23.5% (n = 8). A total of 30.3% (n = 10) of cases had incomplete recovery or poor result.
UNASSIGNED: DAVFs involving the SPS and/or SPV are associated with aggressive natural history, requiring early diagnosis and prompt treatment, leading to good prognosis. These fistulas may be acquired in origin, probably secondary to cerebral venous thrombosis.
摘要：
■涉及岩上窦（SPS）和岩上静脉（SPV）的硬脑膜动静脉瘘（DAVFs）极为罕见。这些瘘的发病机制尚不清楚。我们正在对2例涉及上岩窦和静脉与静脉窦血栓形成相关的DAVFs进行文献复习。
■我们使用PRISMA（系统评价和荟萃分析的首选报告项目）指南对涉及SPS和/或SPV的DAVF进行了综述。此外,我们通过纳入研究的参考文献列表搜索了其他文章.
■从1997年到2022年，我们的评论发表了20篇文章，涉及33例患者和34个瘘管，包括我们的两个病人.平均年龄为55.1±12.9岁（25-85岁），54.5%为男性(n=18)。36.4％（n=12）的患者出现出血，进行性脊髓病占30.3%(n=10)。大多数瘘管经常有来自MMA的动脉供应，MHT,和/或OA。瘘管有64.71％（n=22）的幕下引流，幕上引流率为23.53%（n=8），上及幕下引流占11.76%(n=4)。在27.3%(n=9)中，脑静脉血栓形成被提及或确定。47.1％的病例进行了腔内治疗（n=16），手术占29.4%(n=10)，和组合治疗的23.5%(n=8)。共有30.3%(n=10)的病例恢复不完全或效果不佳。
■涉及SPS和/或SPV的DAVF与侵略性自然史有关，需要早期诊断和及时治疗，导致良好的预后。这些瘘管可能是起源获得的，可能继发于脑静脉血栓形成。
■我们使用PRISMA（系统评价和荟萃分析的首选报告项目）指南对涉及SPS和/或SPV的DAVF进行了综述。此外,我们通过纳入研究的参考文献列表搜索了其他文章.
■从1997年到2022年，我们的评论发表了20篇文章，涉及33例患者和34个瘘管，包括我们的两个病人.平均年龄为55.1±12.9岁（25-85岁），54.5%为男性(n=18)。36.4％（n=12）的患者出现出血，进行性脊髓病占30.3%(n=10)。大多数瘘管经常有来自MMA的动脉供应，MHT,和/或OA。瘘管有64.71％（n=22）的幕下引流，幕上引流率为23.53%（n=8），上及幕下引流占11.76%(n=4)。在27.3%(n=9)中，脑静脉血栓形成被提及或确定。47.1％的病例进行了腔内治疗（n=16），手术占29.4%(n=10)，和组合治疗的23.5%(n=8)。共有30.3%(n=10)的病例恢复不完全或效果不佳。
■涉及SPS和/或SPV的DAVF与侵略性自然史有关，需要早期诊断和及时治疗，导致良好的预后。这些瘘管可能是起源获得的，可能继发于脑静脉血栓形成。
