{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T16:37:41Z","timestamp":1780591061733,"version":"3.54.1"},"reference-count":33,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"\nOBJECTIVE<\/jats:title>\nAnterior cranial fossa (ACF) dural arteriovenous fistulas (DAVFs) are notoriously malignant vascular abnormalities, and their drainage into the cortical vein poses a high risk of intracranial hemorrhage (ICH). Stereotactic radiosurgery (SRS) is increasingly seen as an alternative to microsurgery or embolization for the treatment of DAVFs; however, researchers have yet to report on its applicability to ACF DAVFs. This paper summarizes the authors\u2019 experience in the use of SRS for ACF DAVFs. The authors\u2019 objective was to gain a preliminary overview of SRS outcomes in the treatment of ACF DAVFs.<\/jats:p>\n<\/jats:sec>\n\nMETHODS<\/jats:title>\nThis retrospective study examined all patients who underwent SRS for ACF DAVFs at a single academic medical center between November 2000 and November 2023. Demographic data, DAVF characteristics, and clinical outcomes were obtained from medical records. <\/jats:p>\n<\/jats:sec>\n\nRESULTS<\/jats:title>\nA total of 12 patients diagnosed with ACF DAVFs were treated using SRS. One patient was lost to follow-up. The mean age was 54.8 years and men comprised 82% of the cohort. The most common presenting symptoms included headache (n = 5), ocular symptoms (n = 3), seizure (n = 2), anosmia (n = 1), and tinnitus (n = 1). Two patients were asymptomatic. Four patients (36%) initially presented with ICH. Nine patients exhibited DAVF Cognard type IV, and 2 patients exhibited Cognard type III. DAVF obliteration in 7 of the 11 patients (64%) was confirmed by brain MR angiography (n = 4) or digital subtraction angiography (n = 3). No post-SRS episodes of ICH were reported. Most of the patients (10 of 11) reported improvements in clinical symptoms.<\/jats:p>\n<\/jats:sec>\n\nCONCLUSIONS<\/jats:title>\nSRS appears to be a viable alternative treatment for ACF DAVFs, particularly for patients who are not suitable candidates for surgery or those with an unfavorable angioarchitecture.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2024.6.jns24443","type":"journal-article","created":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T01:25:08Z","timestamp":1727486708000},"page":"1-8","source":"Crossref","is-referenced-by-count":2,"title":["Stereotactic radiosurgery for anterior cranial fossa dural arteriovenous fistulas"],"prefix":"10.3171","author":[{"given":"Tzu-Chiang","family":"Peng","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I-Chun","family":"Lai","sequence":"additional","affiliation":[{"name":"Departments of Heavy Particles & Radiation Oncology and"},{"name":"School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng-Chia","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei;"},{"name":"School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsiu-Mei","family":"Wu","sequence":"additional","affiliation":[{"name":"Radiology, Taipei Veterans General Hospital, Taipei; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chung-Jung","family":"Lin","sequence":"additional","affiliation":[{"name":"School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan"},{"name":"Radiology, Taipei Veterans General Hospital, Taipei; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huai-Che","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei;"},{"name":"School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"5","key":"b1","series-title":"J Neurosurg","first-page":"724","article-title":"Neurological manifestations of intracranial dural arteriovenous malformations","volume":"64","author":"Lasjaunias P","year":"1986","unstructured":"Lasjaunias P, Chiu M, ter Brugge K, Tolia A, Hurth M, Bernstein M. 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