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Vol. 18. Issue 5.
Pages 383-392 (January 2007)
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Vol. 18. Issue 5.
Pages 383-392 (January 2007)
Manejo quirúrgico de las malformaciones arteriovenosas durales craneales. Serie de seis casos
Surgical management of dural arteriovenous fistulae in six patients
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M. Rivero-Garvía
, G. Rodríguez-Boto, A. Pérez-Zamarrón, R. Gutiérrez-González, H. Zimman-Mansfeld, T. De Miguel, C. Saldaña-Galán
Hospital Clínico San Carlos. Madrid
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Resumen
Objetivos

En este artículo describimos la experiencia quirúrgica de nuestro centro en el manejo quirúrgico de las malformaciones arteriovenosas durales intracraneales (MAVd's).

Material y métodos

Presentamos una serie de seis casos, dos mujeres y cuatro hombres, con edades comprendidas entre 40 y 68 años, en el periodo que transcurre entre los años 2001 y 2006, en el Hospital Clínico San Carlos de Madrid.

Resultados

Cuatro de los seis casos fueron ingresados a través del servicio de Urgencias por clínica deficitaria (en dos casos) o disminución del nivel de conciencia (en dos pacientes); los dos restantes fueron remitidos desde consultas externas por cefalea de larga evolución y alteraciones en el estudio de neuroimagen sugerentes de FAVd o MAVd. En todos ellos el tratamiento quirúrgico fue definitivo.

Conclusiones

A pesar las múltiples opciones terapéuticas, la cirugía es de elección en MAVd que presenta especial tendencia a comportarse de forma agresiva; fundamentalmente con riesgo de hemorragia intracraneal.

Palabras clave:
Malformaciones arteriovenosas durales
Fístulas arteriovenosas durales
Hemorragia intracraneal
Tratamiento quirúrgico
Summary
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.

Key words:
Dural arteriovenous malformation
Dural arteriovenous fistulae
Intracranial hemorrhage
Surgical treatment

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