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Exclusive interview / Dr. Anton Titov MD and Professor Dr. Mika Niemela MD, leading cerebrovascular and brain tumor neurosurgeon.
- Brain Dural Arteriovenous Fistula, BDAVF - there are many treatment options and they depend on several important clinical factors. How do you decide on the best treatment for dural fistulas in the brain? That depends on the BDAVF location. Dural fistulas mainly in the anterior fossa - it is surgery. But if we take all the brain dural AV fistulas altogether - endovascular treatment is the treatment of choice in most of brain dural fistulas, except for the anterior skull base fistulas, where surgery is still the number one treatment choice. You can also do radiosurgery or combined treatment in some of the dural AV fistulas, but whether to treat or not depends on the symptoms
- whether Dural AV fistula has bled or not, and whether BDAVF has cortical reflux from venous reflux, which predisposes dural fistula more to rupture than if it doesn't exist. So those we treat more actively. If a brain dural AV fistula has a cortical reflux, then you treat it more aggressively and early. Exactly! Even if brain dural fistula has not bled yet, but if the patient has tinnitus or disturbing bruit in the ear, we treat - we treat dural AV fistulas.
Brain Dural Arteriovenous Fistula BDAVF - What are treatment options? (7) cancer treatment in japan | |
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| Science & Technology | Upload TimePublished on 2 Jul 2018 |
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