title: Multidisciplinary treatment of a large cerebral dural arteriovenous fistula using embolization, surgery, and radiosurgery.
abstract: Dural arteriovenous fistulae are rare lesions composed of abnormal connections between meningeal arteries and the dural sinuses or lepto-meningeal veins. Treatment is challenging because of the small size and wide distribution of the myriad sites of fistulous connection. We present a case of a dural arteriovenous fistula presenting with visual deterioration, pulsatile tinnitus, and intracranial hypertension that was successfully treated with a multidisciplinary approach combining angiographic, surgical, and radiosurgical intervention. This is one of the largest of these formidable lesions treated in this fashion that has been reported.
authors.affiliation: Baylor Radiosurgery Center, Baylor University Medical Center, Dallas, Texas, USA. ColeG@BaylorHealth.edu
authors.forename: Cole A
authors.initials: CA
authors.lastname: Giller
authors.forename: David W
authors.initials: DW
authors.lastname: Barnett
authors.forename: Ike C
authors.initials: IC
authors.lastname: Thacker
authors.forename: Joseph H
authors.initials: JH
authors.lastname: Hise
authors.forename: Brian D
authors.initials: BD
authors.lastname: Berger