Intracranial dural arteriovenous fistula classification

For spinal see Spinal vascular malformation classification.


There are numerous intracranial dural arteriovenous fistula classifications. Borden 1) and Cognard 2) are amongst the more widely used grading schemes. Cortical venous drainage is the defining angiographic feature that distinguishes benign (low-grade) from aggressive (high-grade) fistulas. (Borden I, Cognard I, and Cognard IIa are low-grade, all others are high-grade.)

Cognard classification: Probably the most widely used classification system for dural arteriovenous malformations.


1)
Borden JA, Wu JK, Shucart WA. A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg. 1995; 82:166–179
2)
Cognard C, Gobin YP, Pierot L, et al. Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology. 1995; 194:671–680
3)
Signorelli, F. et al. Diagnosis and management of dural arteriovenous fistulas: A 10 years single-center experience Clinical Neurology and Neurosurgery , Volume 128 , 123 - 129
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