Dural arteriovenous malformations and intracranial hemorrhage

Neurosurgery. 1984 Sep;15(3):332-9. doi: 10.1227/00006123-198409000-00007.


Intracranial hemorrhage is seen less frequently with dural than with intraparenchymal arteriovenous malformations (AVMs). We report 6 cases of intracranial hemorrhage among our past 10 patients with dural AVMs. A literature search provided 27 other cases of intracranial hemorrhage from a total of 213 reported dural AVMs. Although hemorrhage was relatively infrequent (7.5%) with dural AVMs located primarily within a major venous sinus, bleeding episodes occurred in 20 of the 39 (51%) cases of malformation outside a major sinus. There was primary leptomeningeal venous drainage in all cases with hemorrhage, and a large variceal dilatation was seen in 14 cases (42%). Dural AVMs located outside a major sinus are uncommon, and they have a propensity for serious intracranial hemorrhage.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Cerebral Angiography
  • Cerebral Hemorrhage / diagnosis
  • Cerebral Hemorrhage / surgery*
  • Diagnosis, Differential
  • Dura Mater / blood supply*
  • Female
  • Humans
  • Intracranial Arteriovenous Malformations / complications*
  • Intracranial Arteriovenous Malformations / diagnosis
  • Intracranial Arteriovenous Malformations / surgery
  • Male
  • Meningeal Arteries / surgery
  • Middle Aged
  • Recurrence
  • Tomography, X-Ray Computed