Craniocervical junction dural arteriovenous fistula (CCJ-DAVF)
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Craniocervical junction dural arteriovenous fistula (CCJ-DAVF). These are usually at the C1/C2 cervical level. Fully referenced neurology checklist.
Anatomy
- These are usually at the C1/C2 cervical level
- They are supplied by radiculo-meningeal and spinal pial arteries
Clinical presentations
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Magnetic resonance imaging (MRI): features
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Digital subtraction angiography (DSA)
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Treatment
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Predictors of good outcome
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References
- Enokizono M, Sato N, Morikawa M, et al. "Black butterfly" sign on T2*-weighted and susceptibility-weighted imaging: a novel finding of chronic venous congestion of the brain stem and spinal cord associated with dural arteriovenous fistulas. J Neurol Sci 2017; 379:64-68.
- Wang JY, Molenda J, Bydon A, et al. Natural history and treatment of craniocervical junction dural arteriovenous fistulas. J Clin Neurosci 2015; 22:1701-1707.
- Hiramatsu M, Sugiu K, Ishiguro T, et al. Angioarchitecture of arteriovenous fistulas at the craniocervical junction: a multicenter cohort study of 54 patients. J Neurosurg 2018; 128:1839-1849.
- Kinouchi H, Mizoi K, Takahashi A, Nagamine Y, Koshu K, Yoshimoto T. Dural arteriovenous shunts at the craniocervical junction. J Neurosurg 1998; 89:755-761.
- Kasliwal MK, Moftakhar R, O'Toole JE, Lopes DK. High cervical spinal subdural hemorrhage as a harbinger of craniocervical arteriovenous fistula: an unusual clinical presentation. Spine J 2015; 15:e13-e17.
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