Rupture of ethmoidal dural arteriovenous fistula – indication for emergency surgery (clinical cases)
https://doi.org/10.24412/1683-3295-2025-27-1-91-98
Аннотация
Objective of this paper is to demonstrate the variants of surgical treatment of ethmoidal dural arteriovenous fistulas (eDAVFs), propose a treatment algorithm for ruptured and unruptured eDAVFs taking into account the literature data. This article presents 4 clinical cases of patients with eDAVFs. The arterial supply of eDAVF was performed by the ethmoidal branches of the ophthalmic artery in all cases. There were 3 ruptured eDAVF with formation of intracranial hematoma and one unruptured eDAVF. Three patients underwent open surgical intervention, one – transvenous eDAVF embolization. Complete exclusion of eDAVF without complications in the postoperative period was confirmed in 3 patients, 1 patient died because of consequences of hemorrhage.
Patients with eDAVF rupture required immediate surgical intervention due to extremely high risk of repeat rupture. The main techniques of eDAVF treatment are open surgical intervention and endovascular embolization. Patients with unruptured eDAVF should be referred to Federal neurosurgical centers for endovascular treatment.
Об авторах
I. V. Senko
Federal Center for Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia
Россия
Россия
Bld. 10, 1 Ostrovityanova St., Moscow 117513
E. S. Ryzhkova
S.S. Yudin City Clinical Hospital, Moscow Healthcare Department
Россия
Россия
Ryzhkova Elena Stanislavovna.
Bld. 10, 1 Ostrovityanova St., Moscow 117513
S. A. Melchenko
Federal Center for Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia
Россия
Россия
Bld. 10, 1 Ostrovityanova St., Moscow 117513
I. V. Grigoriev
Federal Center for Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia
Россия
Россия
Bld. 10, 1 Ostrovityanova St., Moscow 117513
D. V. Khovrin
S.S. Yudin City Clinical Hospital, Moscow Healthcare Department
Россия
Россия
4 Kolomenskiy Proezd, 115446 Moscow
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Рецензия
Для цитирования:
Senko I.V., Ryzhkova E.S., Melchenko S.A., Grigoriev I.V., Khovrin D.V. Rupture of ethmoidal dural arteriovenous fistula – indication for emergency surgery (clinical cases). Нейрохирургия. 2025;27(1):91-98. https://doi.org/10.24412/1683-3295-2025-27-1-91-98
For citation:
Senko I.V., Ryzhkova E.S., Melchenko S.A., Grigoriev I.V., Khovrin D.V. Rupture of ethmoidal dural arteriovenous fistula – indication for emergency surgery (clinical cases). Russian journal of neurosurgery. 2025;27(1):91-98. https://doi.org/10.24412/1683-3295-2025-27-1-91-98
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