Diagnosis and management of XXXX : A 10 years single-center experience.

@entity1 @entity932 @entity548 @entity2457
OBJECTIVES: @entity2457 ( @entity2457 ) are a challenging condition in vascular neurosurgery. Disease natural history and its management is still debated. In the present paper we report our center series on @entity2457 over a period of 10 years. Our data were compared with relevant literature. @entity1 AND METHODS: Our series includes 45 cases: 14 cavernous sinus, 11 transverse-sigmoid, 8 @entity1 tentorial, 6 anterior cranial fossa, 5 @entity1 spinal, 1 @entity1 foramen magnum. RESULTS AND CONCLUSIONS: DVAFs distribution, clinical presentation and hemorrhagic risk are discussed. Cavernous sinus @entity2457 are the most common site in our series. Other locations in order of frequency are transverse-sigmoid sinus, tentorial, anterior cranial fossa, spinal and foramen magnum. The majority of @entity1 presented with non-aggressive symptoms. 18% presented with @entity932 : all the @entity548 occurred in high-grade @entity2457 . For most @entity1 , endovascular treatment, transarterial or transvenous, was the first option. Surgery was performed for the anterior cranial fossa @entity2457 and other complex lesions draining mostly transverse-sigmoid sinus and tentorium. In 7% of cases a combination of endovascular+surgical treatment was used. Our series has been carefully analyzed in comparison 'side by side' with most relevant literature on DVAFs, focusing particularly on management strategies, therapeutic options and risks related to treatment.
