This volume provides a complete guide to the diagnosis and treatment of Dural cavernous sinus fistula (DCSF). After sections on anatomy, classification of fistulas and the etiology and pathogenesis of DCSF, the symptomatology of the disease is described in detail. The role of modern imaging techniques in diagnosis is then addressed. Full consideration is given to both conventional intra-arterial angiography and 3D rotational angiography. Due attention is also paid to the use of computed tomography, magnetic resonance imaging and ultrasound. Finally, the various transvenous techniques for successful endovascular treatment of DCSF are discussed.

Autorentext

10 year experience in Interventional Neuroradiology, consultant for INR at Charité, HU, Berlin

Zusammenfassung

Dural cavernous sinus fistulas (DCSFs) are benign vascular diseases consisting in an arteriovenous shunt at the cavernous sinus that if misdiagnosed can lead to potentially serious ophthalmologic complications. This volume provides a complete guide to the diagnosis and minimal invasive treatment of DCSFs. After sections on anatomy and classification, etiology and pathogenesis of DCSFs, the symptomatology of the disease is described in detail. The role of modern imaging techniques in the diagnosis of DCSFs is then addressed. Digital subtraction angiography (DSA) remains the gold standard for clinical decision-making; here, full consideration is given to both, conventional 2D DSA and rotational 3D angiography. Recent technological advances in this field such as Dual Volume (DV) imaging and angiographic computed tomography (ACT) are considered as well. Due attention is further paid to the use of computed tomography, magnetic resonance imaging and ultrasound. Finally, the therapeutic management of DCSFs with emphasis on various transvenous occlusion techniques are discussed in depth. This well-illustrated volume will be invaluable to all who may encounter DCSF in their clinical practice.

Inhalt
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.