Craniocervical junction dural arteriovenous fistula (CCJ-DAVF)

Evidence-based neurology checklist on craniocervical junction dural arteriovenous fistula (ccj-davf): Anatomy These are usually at the C1/C2 cervical level They are supplied by radiculo-meningeal and spinal pial arteries Clinical presentations Magnetic resonance imaging (MRI): features Digital…

Anatomy

  • These are usually at the C1/C2 cervical level
  • They are supplied by radiculo-meningeal and spinal pial arteries

Clinical presentations

Magnetic resonance imaging (MRI): features

Digital subtraction angiography (DSA)

Treatment

Predictors of good outcome

References

  1. Enokizono M, Sato N, Morikawa M, et al. "Black butterfly" sign on T2*-weighted and susceptibility-weighted imaging: a novel finding of chronic venous congestion of the brain stem and spinal cord associated with dural arteriovenous fistulas. J Neurol Sci 2017; 379:64-68. 
  2. Wang JY, Molenda J, Bydon A, et al. Natural history and treatment of craniocervical junction dural arteriovenous fistulas. J Clin Neurosci 2015; 22:1701-1707. 
  3. Hiramatsu M, Sugiu K, Ishiguro T, et al. Angioarchitecture of arteriovenous fistulas at the craniocervical junction: a multicenter cohort study of 54 patients. J Neurosurg 2018; 128:1839-1849. 
  4. Kinouchi H, Mizoi K, Takahashi A, Nagamine Y, Koshu K, Yoshimoto T. Dural arteriovenous shunts at the craniocervical junction. J Neurosurg 1998; 89:755-761.
  5. Kasliwal MK, Moftakhar R, O'Toole JE, Lopes DK. High cervical spinal subdural hemorrhage as a harbinger of craniocervical arteriovenous fistula: an unusual clinical presentation. Spine J 2015; 15:e13-e17. 
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