Diagnosis and treatment of spinal dural arteriovenous fistulas at the craniocervical junction:two case reports and literature review
AN Xue-feng
WANG Yi
QIN Jie
HUANG He
YANG Ming
MA Lian-ting
Abstract：Objective To explore the diagnostic and therapeutic methods for spinal dural arteriovenous fistulas(SDAVFs)at the cranio-cervical junction.Methods The clinical data of two patients with SDAVFs at the cranio-cervical junction were retrospectively analyzed.The diagnosis,treatment plans,and outcomes were elaborated in detail,and a summary was made in combination with the relevant literature.Results Both patients were diagnosed by selective cerebral and spinal angiography and successfully underwent microsurgical cauterization of the fistula.Postoperatively,their symptoms improved significantly,sensory disturbances were mitigated,and muscle strength in the limbs as well as bladder and bowel functions returned to normal.Conclusion Selective cerebral and spinal angiography is the gold standard for diagnosing SDAVFs at the cranio-cervical junction,and microsurgical cauterization of the fistula is an effective treatment approach.
Keywords：Spinal dural arteriovenous fistulaCraniocervical junctionSelective cerebral and spinal angiographySurgery
Publication Date：2024-11-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 660-664 )