Title Dural cavernous sinus fistulas : diagnosis and endovascular therapy / Goetz Benndorf ; foreword by K. Sartor

Published Berlin : Springer, ©2010

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Description 1 online resource (xiv, 319 pages) : illustrations (some color) Series Medical radiology : diagnostic imaging, 0942-5373 Medical radiology. 0942-5373 Contents Introduction -- Historical considerations -- Anatomy of the cavernous sinus and related structures -- Classification of cavernous sinus fistulas (CSFs) and dural arteriovenous fistulas (DAVFs) -- Etiology, prevalence and natural history of dural cavernous sinus fistulas (DCSFs) -- Neuro-ophthalmology in dural cavernous sinus fistulas (DCSFs) -- Radiological diagnosis of DCSFs -- Endovascular treatment -- Alternative treatment options -- Hemodynamic aspects of DCSFs -- Summary Summary Dural cavernous sinus fistulas (DCSFs) represent a benign vascular disease, consisting in an arteriovenous shunt at the cavernous sinus. In the absence of spontaneous resolution, the fistula may lead to eye redness, swelling, proptosis, chemosis, ophthalmoplegia and visual loss. Although modern imaging techniques have improved the diagnostic, patients with low-flow DCSFs are still misdiagnosed. These patients can get erroneously treated for infections and inflammation for months or years and are at risk of visual loss. Early and proper diagnosis helps to avoid deleterious clinical course of the disease. This volume provides a complete guide to clinical and radiological diagnosis as well as to therapeutic management of DCSF with emphasis on modern minimal invasive treatment options. It commences with an informative description of relevant anatomy. After sections on the classification, etiology and pathogenesis of DCSF, the clinical symptomatology of the disease is described in detail. The role of modern non-invasive imaging tools is then addressed with the use of computed tomography, magnetic resonance imaging and ultrasound. Intra-arterial digital subtraction angiography (DSA), although invasive, remains the gold standard and is mandatory for clinical decision-making and strategy in endovascular treatment. Hence, a throughout consideration is given to both, 2D-DSA and 3D rotational angiography, including recent technological advancements such as Dual Volume (DV) imaging and angiographic computed tomography (ACT). After a short section on arteriovenous hemodynamics, the therapeutic management of DCSFs is described in detail. In particular, various transvenous techniques, required for successful endovascular occlusion of DCSF, are discussed in depth. This well-illustrated volume will be invaluable to all who may encounter DCSF in their clinical practice Analysis geneeskunde medicine volksgezondheid public health afbeelden imagery neurologie neurology radiologie radiology diagnostiek diagnostics oogheelkunde ophthalmology Medicine (General) Geneeskunde (algemeen) Bibliography Includes bibliographical references and index Notes Print version record In Springer eBooks Subject Cavernous sinus -- Diseases -- Diagnosis Cavernous sinus -- Radiography Cavernous sinus -- Endoscopic surgery Arteriovenous Fistula -- diagnosis Intracranial Arteriovenous Malformations -- diagnosis Arteriovenous Fistula -- therapy Cavernous Sinus -- diagnostic imaging Diagnostic Imaging -- methods Intracranial Arteriovenous Malformations -- therapy MEDICAL -- Otorhinolaryngology. Médecine. Interventional radiology Medical radiology Neurology Otolaryngology Form Electronic book ISBN 9783540688891 3540688897

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