Open Access

Brain arteriovenous malformation with transdural blood supply: Current status (Review)

  • Authors:
    • Jianmin Piao
    • Tiefeng Ji
    • Yunbao Guo
    • Kan Xu
    • Jinlu Yu
  • View Affiliations

  • Published online on: July 3, 2019     https://doi.org/10.3892/etm.2019.7731
  • Pages: 2363-2368
  • Copyright: © Piao et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Arterial blood supply to a brain arteriovenous malformation (BAVM) is mainly derived from the internal carotid artery (ICA) and vertebral basilar artery (VBA) system. However, in certain cases, arteries supplying the meninges may also contribute to the blood supply of the BAVM, resulting in the formation of a BAVM with transdural blood supply (TBS). To review the current status of BAVM with TBS, a literature search was performed in the PubMed database. Articles were screened for relevance and suitability of data. According to recent studies, the mechanisms by which TBS to a BAVM forms are mainly classified into the congenital and acquired type. BAVM with TBS is common in elderly patients and is characterized by intracranial hemorrhage, epilepsy, chronic headache and increased intracranial pressure. Digital subtraction angiography is the gold standard for diagnosing BAVM with TBS. Superselective angiography is also important. Treatments for BAVM with TBS include surgical resection, endovascular treatment (EVT), stereotactic radiosurgery and combined treatment. Surgical resection is difficult to perform. EVT has become the major therapy for treating BAVM with TBS due to its low procedural invasiveness. Combination of surgical resection and EVT may be a good option. In addition, stereotactic radiosurgery is frequently used as a complementary treatment to surgical and endovascular interventions. The prognosis of BAVM with TBS is not favorable, as the defect involves a complex arterial supply system.

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October 2019
Volume 18 Issue 4

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Copy and paste a formatted citation
APA
Piao, J., Ji, T., Guo, Y., Xu, K., & Yu, J. (2019). Brain arteriovenous malformation with transdural blood supply: Current status (Review). Experimental and Therapeutic Medicine, 18, 2363-2368. https://doi.org/10.3892/etm.2019.7731
MLA
Piao, J., Ji, T., Guo, Y., Xu, K., Yu, J."Brain arteriovenous malformation with transdural blood supply: Current status (Review)". Experimental and Therapeutic Medicine 18.4 (2019): 2363-2368.
Chicago
Piao, J., Ji, T., Guo, Y., Xu, K., Yu, J."Brain arteriovenous malformation with transdural blood supply: Current status (Review)". Experimental and Therapeutic Medicine 18, no. 4 (2019): 2363-2368. https://doi.org/10.3892/etm.2019.7731