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5.3 Prevalence

79

Table 5.3. Frequency of cortical/leptomeningeal venous drainage and associated hemorrhage

Authors

DCSFs C/LVD

Hemorrhage

Halbach et al. 1987

30

3

(10%)

 

 

Awad et al. 1990 a

45

n/a

n/a

Cognard et al. 1995

33

4

(12%)

0

 

Tomsick 1997

50

8

(16%)

0

 

Satomi et al. 2005 b

65

17 (26.1%)

1

(1.5%)

Theaudin et al. 2006

27

5

(18.5%)

0

 

Stiebel-Kalish

88

22

(26%)

2

(2.2%)

et al. 2002

 

 

 

 

 

Meyers et al. 2002

135

41 (31%)

2

(1.5%)

a 17 cases and metaanalysis

b Cases of benign DAVF

In summary, lacking accurate data, only limited knowledge on prevalence and natural history in patients harboring DCSFs exist. Larger studies with long-term follow-up of patients, not undergoing any sort of treatment including manual compression therapy, will be needed to obtain reliable information on the natural course of the disease. The term “benign” fistula, referring to a generally milder clinical course, does not appear suitable and should be reserved for diseases of that biological nature.

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