Manejo quirúrgico de las malformaciones arteriovenosas durales craneales: Serie de seis casos

摘要

Objetives. In this article, we describe our experience in surgical management of dural arteriovenous fistulae (dAVF). Materials and methods. From Agust 2001 to Febrery 2006 a total of six patients, were admitted at our hospital, with ages between 40 and 68 years. Results. Four of the six cases were entered through the service of Emergency Service by neurological defecit (in two cases) or decrease in the level of consciousness (in two patients); the remaining two patients were refered by lengthy headache and alterations on neuroimagen studies suggestive of dAVF. All of them showed dAVF in different locations which were treated successfully with surgery of the unique mortality of treatment after angiographical studies. Conclusion. Although multiple therapeutic options are avaible, surgery is in dAVF which shows aggressive clinical course, especially intracranial hemorrhage.