Gamma Knife radiosurgical treatment of a dural arteriovenous fistula with the feeding branches from the meningo-pituitary trunks of both internal carotid arteries
https://doi.org/10.17650/1683-3295-2020-22-1-56-64
Abstract
Treatment strategies for dural arterio-venous fistulas (DAFs) include single or multimodal schemes, including microsurgery, endovascular transarterial or transvenous embolization, or stereotactic radiosurgery (SRS).
In the scientific medical resources, only 9 cases of bilateral DAFs of the brain are described, which required surgical intervention, and 4 were treated with endovascular or microsurgical approach; SRS was used in 5 cases, of which in 4 cases with previous or subsequent endovascular embolization.
We have presented a case of successful SRS with Gamma Knife of bilateral DAF from the branches of meningo-hypophyseal trunks from inner carotid arteries without preliminary embolization or surgical resection.
The use of SRS with Gamma Knife is possible with low-flow DAFs, as well as a part of a multimodal strategy with high-flow DAFs, which requires further study.
About the Authors
A. S. Tokarev
N. V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation
Russian Federation
3 Bolshaya Sukharevskaya Sq., Moscow 129090
V. A. Rak
N. V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation
Russian Federation
3 Bolshaya Sukharevskaya Sq., Moscow 129090
K. V. Gretskikh
N. V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation
Russian Federation
3 Bolshaya Sukharevskaya Sq., Moscow 129090
O. L. Evdokimova
N. V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation
Russian Federation
3 Bolshaya Sukharevskaya Sq., Moscow 129090
O. A. Viktorova
N. V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation
Russian Federation
3 Bolshaya Sukharevskaya Sq., Moscow 129090
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Review
For citations:
Tokarev A.S., Rak V.A., Gretskikh K.V., Evdokimova O.L., Viktorova O.A. Gamma Knife radiosurgical treatment of a dural arteriovenous fistula with the feeding branches from the meningo-pituitary trunks of both internal carotid arteries. Russian journal of neurosurgery. 2020;22(1):56-64. (In Russ.) https://doi.org/10.17650/1683-3295-2020-22-1-56-64
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