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Considerations for Effectively Managing Dural Arteriovenous Fistulas in Children

This page was last updated on November 14th, 2025

Authors

R Navarro, MD
GK Steinberg, MD, PhD

  • Diagnostics: A complete cerebral angiogram is the gold standard for diagnosis and treatment planning. A number of extracranial and cervical anastomoses to the dural arterial supply exist, so a complete angiogram may depend on the location of the suspected lesion and often involves bilateral external carotid arteries as well as the internal carotid and vertebral arteries. In some cases, further selection of branches of the subclavian may also be appropriate.
  • Hypercoagulable states: Rule out hypercoagulable states and treat them if present.
  • Prompt treatment: Prompt treatment is advised in the presence of cortical venous drainage or in cases with hemorrhagic presentation.