Cited 21 times in

Clinical and angiographic characteristics of multiple dural arteriovenous shunts

DC Field Value Language
dc.contributor.author권영섭-
dc.contributor.author김동익-
dc.contributor.author김동준-
dc.contributor.author김병문-
dc.contributor.author하삼열-
dc.date.accessioned2014-12-19T16:23:06Z-
dc.date.available2014-12-19T16:23:06Z-
dc.date.issued2012-
dc.identifier.issn0195-6108-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/89425-
dc.description.abstractBACKGROUND AND PURPOSE: The pathogenesis and characteristics of multiple DAVSs are not well-known. The purpose of this study was to evaluate the angiographic and clinical characteristics of patients with multiple DAVSs with an emphasis on the pathomechanism. MATERIALS AND METHODS: One hundred seventy-nine patients with DAVS were reviewed. Patients with ≥ 2 fistulas at anatomically separate sites were included. Multiple DAVSs were categorized into synchronous (simultaneous multiplicity) or metachronous (temporal sequential development of multiplicity) types. The angiographic and clinical characteristics of these lesions were analyzed. RESULTS: Fourteen patients were diagnosed with multiple DAVSs (7.8%; synchronous, n = 7; metachronous, n = 7). Thirteen of the 14 patients showed CVR (93%, Borden type II/III). Multiple DAVSs were frequently associated with dural sinus thrombosis (71.4%, n = 10). Synchronous DAVSs developed in association with an occluded sinus (n = 5). De novo metachronous lesions developed in association with thrombosis of a previously patent dural sinus (n = 3) or reopening of an occluded sinus (n = 2). Multiplicity was associated with aggressive initial symptoms in 64.3% (n = 9). The newly developed lesions in the metachronous types were accompanied by hemorrhage (n = 1), neurologic deficit (n = 1), worsening of the initial benign symptoms (n = 2), and incidental detection (n = 3). The mean time interval between the initial diagnosis and de novo lesion detection was 31.3 ± 29.8 months (range, 12-92 months). CONCLUSIONS: Multiplicity of DAVSs is associated with poor angiographic and clinical prognosis, requiring an aggressive treatment and management strategy. Sinus thrombosis has a prominent role in the pathomechanism of DAVSs.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.relation.isPartOfAMERICAN JOURNAL OF NEURORADIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHCentral Nervous System Vascular Malformations/diagnostic imaging*-
dc.subject.MESHCentral Nervous System Vascular Malformations/epidemiology*-
dc.subject.MESHCerebral Angiography/statistics & numerical data*-
dc.subject.MESHChild-
dc.subject.MESHChild, Preschool-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHInfant-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPrevalence-
dc.subject.MESHReproducibility of Results-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHSensitivity and Specificity-
dc.subject.MESHYoung Adult-
dc.titleClinical and angiographic characteristics of multiple dural arteriovenous shunts-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorS.Y. Ha-
dc.contributor.googleauthorY.S. Kwon-
dc.contributor.googleauthorB.M. Kim-
dc.contributor.googleauthorD.I. Kim-
dc.contributor.googleauthorD.J. Kim-
dc.identifier.doi10.3174/ajnr.A3054-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00231-
dc.contributor.localIdA00408-
dc.contributor.localIdA00410-
dc.contributor.localIdA00498-
dc.contributor.localIdA04250-
dc.relation.journalcodeJ00095-
dc.identifier.eissn1936-959X-
dc.identifier.pmid22538077-
dc.subject.keywordAdolescent-
dc.subject.keywordAdult-
dc.subject.keywordAged-
dc.subject.keywordCentral Nervous System Vascular Malformations/diagnostic imaging*-
dc.subject.keywordCentral Nervous System Vascular Malformations/epidemiology*-
dc.subject.keywordCerebral Angiography/statistics & numerical data*-
dc.subject.keywordChild-
dc.subject.keywordChild, Preschool-
dc.subject.keywordFemale-
dc.subject.keywordHumans-
dc.subject.keywordInfant-
dc.subject.keywordMale-
dc.subject.keywordMiddle Aged-
dc.subject.keywordPrevalence-
dc.subject.keywordReproducibility of Results-
dc.subject.keywordRepublic of Korea/epidemiology-
dc.subject.keywordSensitivity and Specificity-
dc.subject.keywordYoung Adult-
dc.contributor.alternativeNameKwon, Young Sub-
dc.contributor.alternativeNameKim, Dong Ik-
dc.contributor.alternativeNameKim, Dong Joon-
dc.contributor.alternativeNameKim, Byung Moon-
dc.contributor.alternativeNameHa, Sam Youl-
dc.contributor.affiliatedAuthorKwon, Young Sub-
dc.contributor.affiliatedAuthorKim, Dong Ik-
dc.contributor.affiliatedAuthorKim, Dong Joon-
dc.contributor.affiliatedAuthorKim, Byung Moon-
dc.contributor.affiliatedAuthorHa, Sam Youl-
dc.citation.volume33-
dc.citation.number9-
dc.citation.startPage1691-
dc.citation.endPage1695-
dc.identifier.bibliographicCitationAMERICAN JOURNAL OF NEURORADIOLOGY, Vol.33(9) : 1691-1695, 2012-
dc.identifier.rimsid31756-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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