{"id":13576,"date":"2024-10-09T10:40:37","date_gmt":"2024-10-09T07:40:37","guid":{"rendered":"https:\/\/ozgurkilickesmez.com\/?p=13576"},"modified":"2025-12-12T14:55:32","modified_gmt":"2025-12-12T11:55:32","slug":"fistula-arteriovenoasa-durala-favd","status":"publish","type":"post","link":"https:\/\/ozgurkilickesmez.com\/ro\/fistula-arteriovenoasa-durala-favd\/","title":{"rendered":"Fistul\u0103 Arteriovenoas\u0103 Dural\u0103 (FAVD)"},"content":{"rendered":"<p>Dural arteriovenoz\u0103 fistul\u0103 (DAVF) este o afec\u021biune vascular\u0103 caracterizat\u0103 prin conexiuni arterio-venoase anormale localizate \u00een meninge, care pot duce la hipertensiune venoas\u0103 intracranian\u0103 \u0219i simptome neurologice.<\/p>\n<p>\u00cen evaluarea fistulei arteriovenoase durale, angiografia este standardul de aur. Se examineaz\u0103 localizarea, modelul fluxului \u0219i drenajul venos pentru a determina nivelul de risc al evolu\u021biei clinice \u0219i pentru a planifica interven\u021bia.<\/p>\n<p>\u00cen tratamentul DAVF se utilizeaz\u0103 embolizarea endovascular\u0103, radiochirurgia stereotactic\u0103 \u0219i, mai rar, rezec\u021bia chirurgical\u0103 \u2013 metodele fiind alese \u00een func\u021bie de structura fistulei \u0219i de simptomele pacientului.<\/p>\n<p>Cu diagnostic precoce \u0219i tratament adecvat, se pot preveni hemoragiile cerebrale \u0219i deficitele neurologice cauzate de fistula arteriovenoas\u0103 dural\u0103, \u00eembun\u0103t\u0103\u021bind prognosticul \u0219i siguran\u021ba pacientului.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Numele bolii<\/td>\n<td>Fistul\u0103 Arteriovenoas\u0103 Dural\u0103 (DAVF)<\/td>\n<\/tr>\n<tr>\n<td>Defini\u021bie<\/td>\n<td>Este o afec\u021biune \u00een care se formeaz\u0103 conexiuni anormale (fistule) \u00eentre artere \u0219i vene localizate \u00een dura mater, membrana extern\u0103 a creierului; aceste conexiuni determin\u0103 un flux anormal de s\u00e2nge \u00eentre vase.<\/td>\n<\/tr>\n<tr>\n<td>Simptome<\/td>\n<td>Durere de cap, tinitus pulsatil (sincron cu pulsul), convulsii, tulbur\u0103ri neurologice, vedere dubl\u0103, simptome cauzate de presiunea intracranian\u0103 crescut\u0103, rar hemoragie cerebral\u0103.<\/td>\n<\/tr>\n<tr>\n<td>Cauze<\/td>\n<td>De obicei cauza este necunoscut\u0103, dar poate fi asociat\u0103 cu traumatisme craniene, infec\u021bii, tromboz\u0103 de sinus, interven\u021bii chirurgicale \u0219i modific\u0103ri hormonale.<\/td>\n<\/tr>\n<tr>\n<td>Factori de risc<\/td>\n<td>V\u00e2rst\u0103 mijlocie sau \u00eenaintat\u0103, antecedente de traumatisme craniene, boli vasculare intracraniene, interven\u021bii chirurgicale cerebrale anterioare, tromboz\u0103 de sinus.<\/td>\n<\/tr>\n<tr>\n<td>Metode de diagnostic<\/td>\n<td>RM cerebral sau angio-CT, DSA (angiografie prin substrac\u021bie digital\u0103 \u2013 cea mai detaliat\u0103 metod\u0103), venografie RM, Doppler transcranian.<\/td>\n<\/tr>\n<tr>\n<td>Metode de tratament<\/td>\n<td>Embolizare endovascular\u0103 (injectarea unei substan\u021be embolice prin cateter pentru a \u00eenchide fistula), rezec\u021bie chirurgical\u0103 (\u00eendep\u0103rtarea fistulei), radiochirurgie (precum Gamma Knife).<\/td>\n<\/tr>\n<tr>\n<td>Complica\u021bii<\/td>\n<td>Hemoragie cerebral\u0103, convulsii, leziuni ale sistemului nervos, tulbur\u0103ri neurologice permanente, risc de leziuni cerebrale \u0219i pierdere func\u021bional\u0103 dac\u0103 nu este tratat\u0103.<\/td>\n<\/tr>\n<tr>\n<td>Monitorizare \u0219i urm\u0103rire<\/td>\n<td>Dup\u0103 tratament se efectueaz\u0103 imagistic\u0103 regulat\u0103 (RM sau angiografie) pentru a verifica \u00eenchiderea fistulei \u0219i detectarea recuren\u021bei; se monitorizeaz\u0103 starea neurologic\u0103.<\/td>\n<\/tr>\n<tr>\n<td>Metode de preven\u021bie<\/td>\n<td>Nu exist\u0103 o metod\u0103 clar\u0103 de preven\u021bie; evitarea traumelor craniene \u0219i adoptarea unui stil de via\u021b\u0103 care men\u021bine s\u0103n\u0103tatea vascular\u0103 pot reduce riscurile.<\/td>\n<\/tr>\n<tr>\n<td>R\u0103spuns la tratament<\/td>\n<td>Se ob\u021bin rezultate de obicei bune prin tratamente endovasculare \u0219i interven\u021bii chirurgicale; diagnosticul \u0219i tratamentul precoce \u00eembun\u0103t\u0103\u021besc prognosticul.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\t<section class=\"section\" id=\"section_572131924\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-741376279\">\n\n\n\t<div id=\"col-1628817686\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\" style=\"background-color:#1c58ef;\" >\n\t\t\t\n\t\t\t\n\n<div class=\"row\"  id=\"row-288486390\">\n\n\n\t<div id=\"col-1552515735\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div class=\"img has-hover border-gorsel x md-x lg-x y md-y lg-y\" id=\"image_1517648048\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"1020\" height=\"1020\" src=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2025\/08\/Medic-specialist-in-Radiologie-Interventionala-si-Neuroradiologie-1024x1024.webp\" class=\"attachment-large size-large\" alt=\"Medic specialist \u00een Radiologie Interven\u021bional\u0103 \u0219i Neuroradiologie\" srcset=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2025\/08\/Medic-specialist-in-Radiologie-Interventionala-si-Neuroradiologie-1024x1024.webp 1024w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2025\/08\/Medic-specialist-in-Radiologie-Interventionala-si-Neuroradiologie-300x300.webp 300w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2025\/08\/Medic-specialist-in-Radiologie-Interventionala-si-Neuroradiologie-150x150.webp 150w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2025\/08\/Medic-specialist-in-Radiologie-Interventionala-si-Neuroradiologie.webp 1080w\" sizes=\"(max-width: 1020px) 100vw, 1020px\" title=\"\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1517648048 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1552515735 > .col-inner {\n  border-radius: 20px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-275321789\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner dark\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-3324619393\" class=\"text\">\n\t\t\n\n<p><strong>Prof. Dr. \u00d6zg\u00fcr KILI\u00c7KESMEZ<br \/><\/strong><span style=\"font-size: 65%;\"><em>Radiologie Interven\u021bional\u0103 \/ Neuroradiologie Interven\u021bional\u0103<\/em><\/span><\/p>\n\t\t\n<style>\n#text-3324619393 {\n  font-size: 1.25rem;\n}\n@media (min-width:550px) {\n  #text-3324619393 {\n    font-size: 2rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n<p>Prof. Dr. K\u0131l\u0131\u00e7kesmez de\u021bine Certificatul de Competen\u021b\u0103 \u00een Radiologie din Turcia, Certificatul de Competen\u021b\u0103 \u00een Radiologie Interven\u021bional\u0103 din Turcia, Certificarea pentru tratamentul accidentului vascular cerebral \u0219i Certificatul European de Radiologie Interven\u021bional\u0103 (EBIR). \u00cen cariera sa academic\u0103, a c\u00e2\u0219tigat Premiul I Siemens pentru Radiologie \u00een 2008.<\/p>\n\n<a href=\"https:\/\/ozgurkilickesmez.com\/kimdir\/\" class=\"button white lowercase hide-for-small\" style=\"border-radius:15px;\">\n\t\t<span>CV<\/span>\n\t<\/a>\n\n\n<a href=\"https:\/\/ozgurkilickesmez.com\/kimdir\/oduller\/\" class=\"button white lowercase hide-for-small\" style=\"border-radius:15px;\">\n\t\t<span>Premii<\/span>\n\t<\/a>\n\n\n<a href=\"https:\/\/www.google.com\/search?sa=X&#038;sca_esv=02ef9b5328b381af&#038;tbm=lcl&#038;q=Prof+%C3%96zg%C3%BCr+K%C4%B1l%C4%B1%C3%A7kesmez+Recenzii&#038;rflfq=1&#038;num=20\" class=\"button white lowercase hide-for-small\" style=\"border-radius:15px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Recenzii<\/span>\n\t<\/a>\n\n\n<div class=\"row show-for-small\"  id=\"row-2000003023\">\n\n\n\t<div id=\"col-33840951\" class=\"col medium-6 small-6 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<a href=\"https:\/\/ozgurkilickesmez.com\/kimdir\/\" class=\"button white lowercase expand\" style=\"border-radius:15px;\">\n\t\t<span>CV<\/span>\n\t<\/a>\n\n\n<a href=\"https:\/\/ozgurkilickesmez.com\/kimdir\/akademik-makaleler\/\" class=\"button white lowercase expand\" style=\"border-radius:15px;\">\n\t\t<span>Articole<\/span>\n\t<\/a>\n\n\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1767877260\" class=\"col medium-6 small-6 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<a href=\"https:\/\/ozgurkilickesmez.com\/kimdir\/oduller\/\" class=\"button white lowercase expand\" style=\"border-radius:15px;\">\n\t\t<span>Premii<\/span>\n\t<\/a>\n\n\n<a href=\"https:\/\/www.google.com\/search?sa=X&#038;sca_esv=02ef9b5328b381af&#038;tbm=lcl&#038;q=Prof+%C3%96zg%C3%BCr+K%C4%B1l%C4%B1%C3%A7kesmez+Recenzii&#038;rflfq=1&#038;num=20\" class=\"button white lowercase expand\" style=\"border-radius:15px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Recenzii<\/span>\n\t<\/a>\n\n\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-275321789 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-275321789 > .col-inner {\n    margin: 0px 0px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1628817686 > .col-inner {\n  padding: 30px 30px 1px 30px;\n  border-radius: 20px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_572131924 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Con\u021binutul articolului<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/fistula-arteriovenoasa-durala-favd\/#Ce_este_Fistula_Arteriovenoasa_Durala_DAVF\" >Ce este Fistula Arteriovenoas\u0103 Dural\u0103 (DAVF)?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/fistula-arteriovenoasa-durala-favd\/#Care_sunt_Cauzele_Fistulei_Arteriovenoase_Durale\" >Care sunt Cauzele Fistulei Arteriovenoase Durale?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/fistula-arteriovenoasa-durala-favd\/#Care_sunt_Simptomele_Fistulei_Arteriovenoase_Durale\" >Care sunt Simptomele Fistulei Arteriovenoase Durale?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/fistula-arteriovenoasa-durala-favd\/#Cum_se_Diagnostica_Fistula_Arteriovenoasa_Durala\" >Cum se Diagnostic\u0103 Fistula Arteriovenoas\u0103 Dural\u0103?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/fistula-arteriovenoasa-durala-favd\/#Care_sunt_Optiunile_de_Tratament_pentru_Fistula_Arteriovenoasa_Durala\" >Care sunt Op\u021biunile de Tratament pentru Fistula Arteriovenoas\u0103 Dural\u0103?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/fistula-arteriovenoasa-durala-favd\/#Care_este_Prognosticul_Pacientilor_cu_Fistula_Arteriovenoasa_Durala\" >Care este Prognosticul Pacien\u021bilor cu Fistul\u0103 Arteriovenoas\u0103 Dural\u0103?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/fistula-arteriovenoasa-durala-favd\/#Intrebari_Frecvente\" >\u00centreb\u0103ri Frecvente<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Ce_este_Fistula_Arteriovenoasa_Durala_DAVF\"><\/span>Ce este Fistula Arteriovenoas\u0103 Dural\u0103 (DAVF)?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p> Fistula Arteriovenoas\u0103 Dural\u0103 (DAVF) este o afec\u021biune vascular\u0103 rar\u0103 caracterizat\u0103 printr-o conexiune anormal\u0103 \u00eentre artere \u0219i vene situate \u00een dura mater, membrana exterioar\u0103 a creierului \u0219i m\u0103duvei spin\u0103rii. Aceast\u0103 conexiune determin\u0103 trecerea direct\u0103 a s\u00e2ngelui din artere \u00een vene, ocolind re\u021beaua capilar\u0103 normal\u0103. Drept urmare, poate ap\u0103rea o presiune venoas\u0103 crescut\u0103 \u00een sistemul vascular. Spre deosebire de alte malforma\u021bii arteriovenoase (AVM), DAVF-urile nu sunt localizate \u00een \u021besutul cerebral propriu-zis, ci \u00een dura mater \u0219i implic\u0103 vasele meningeale.<\/p>\n<p>Majoritatea DAVF-urilor apar mai ales \u00eentre v\u00e2rstele de 50 \u0219i 70 de ani \u0219i sunt condi\u021bii dob\u00e2ndite. De asemenea, pot fi asociate cu tromboza sinusurilor venoase, traumatisme craniene sau infec\u021bii. Spre deosebire de AVM-urile congenitale, DAVF-urile sunt mai frecvente la adul\u021bi. \u00cen aceast\u0103 boal\u0103, fluxul sangvin anormal cre\u0219te riscul de hemoragie cerebral\u0103, \u00een special c\u00e2nd drenajul se face c\u0103tre venele corticale. Severitatea simptomelor variaz\u0103 \u00een func\u021bie de localizarea anatomic\u0103 a fistulei \u0219i de modelul drenajului venos.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Care_sunt_Cauzele_Fistulei_Arteriovenoase_Durale\"><\/span>Care sunt Cauzele Fistulei Arteriovenoase Durale?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p> Fistulele arteriovenoase durale (DAVF) sunt anomalii vasculare complexe care apar sub influen\u021ba mai multor factori declan\u0219atori. \u00cen dezvoltarea DAVF joac\u0103 un rol important o serie de factori, iar impactul acestora poate varia. Unul dintre cei mai importan\u021bi factori declan\u0219atori este Tromboflebita Sinusurilor Venoase Cerebrale (CVST), care cre\u0219te presiunea venoas\u0103 \u0219i favorizeaz\u0103 formarea conexiunilor arterio-venoase anormale. Procesul de angiogenez\u0103 declan\u0219at dup\u0103 tromboz\u0103 poate accelera dezvoltarea DAVF prin formarea de vase noi.<\/p>\n<p>De asemenea, leziunile cerebrale traumatice sunt un alt factor frecvent implicat \u00een formarea DAVF. Traumatismele fizice pot altera structura anatomic\u0103 normal\u0103 a arterelor \u0219i venelor durale, duc\u00e2nd la conexiuni anormale. \u00cen special, traumatismele craniene pot crea un mediu favorabil apari\u021biei fistulei. \u00cen plus, interven\u021biile chirurgicale pot contribui la apari\u021bia DAVF. \u00cen timpul opera\u021biilor pe creier, manipul\u0103rile din jurul sinusurilor venoase pot declan\u0219a neovasculariza\u021bia \u0219i astfel pot duce la conexiuni arteriovenoase anormale.<\/p>\n<p>O alt\u0103 cauz\u0103 a DAVF poate fi reprezentat\u0103 de infec\u021biile sau inflama\u021biile cronice. Inflama\u021biile de lung\u0103 durat\u0103 din meningele cerebral sau din structurile adiacente pot deteriora vasele de s\u00e2nge, cauz\u00e2nd modific\u0103ri patologice. Anumite infec\u021bii, \u00een special, pot determina modific\u0103ri anormale \u00een structura vascular\u0103 \u0219i pot sus\u021bine dezvoltarea DAVF.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Care_sunt_Simptomele_Fistulei_Arteriovenoase_Durale\"><\/span>Care sunt Simptomele Fistulei Arteriovenoase Durale?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p> Fistula arteriovenoas\u0103 dural\u0103 (DAVF) poate prezenta simptome variate \u00een func\u021bie de localizare \u0219i de modelul drenajului venos. Aceste simptome afecteaz\u0103 calitatea vie\u021bii pacientului \u0219i pot duce uneori la probleme grave de s\u0103n\u0103tate. Printre cele mai semnificative simptome se num\u0103r\u0103: <\/p>\n<ul>\n<li>Tinitus pulsatil: Determin\u0103 perceperea unor sunete ritmice sincronizate cu b\u0103t\u0103ile inimii.<\/li>\n<li>Dureri de cap: Apar adesea din cauza cre\u0219terii presiunii intracraniene \u0219i pot varia \u00een intensitate.<\/li>\n<li>Probleme de vedere: Simptome precum vederea \u00eence\u021bo\u0219at\u0103 sau vederea dubl\u0103 devin mai pronun\u021bate \u00een apropierea sinusului cavernos.<\/li>\n<li>Deficite neurologice: Pot ap\u0103rea amor\u021beli, sl\u0103biciune muscular\u0103 \u0219i tulbur\u0103ri de echilibru; \u00een cazurile avansate pot surveni convulsii.<\/li>\n<li>Simptome cognitive \u0219i psihiatrice: Blocajele venoase cerebrale de lung\u0103 durat\u0103 pot duce la probleme precum pierderea memoriei.<\/li>\n<li>Hemoragie: \u00cen cazurile cu drenaj venos cortical, riscul de hemoragie cerebral\u0103 este crescut \u0219i pot ap\u0103rea situa\u021bii de urgen\u021b\u0103 precum accidentele vasculare cerebrale.<\/li>\n<\/ul>\n\n\t<section class=\"section\" id=\"section_1441117280\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1940500384\">\n\n\n\t<div id=\"col-1535358796\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-2\"  >\n\t\t\t\n\t\t\t\n\n<div class=\"row\"  id=\"row-754916345\">\n\n\n\t<div id=\"col-454532350\" class=\"col whatsapp-alani hide-for-small medium-3 small-12 large-3\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-2\" style=\"background-color:rgb(37, 211, 102);\" >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-3991427532\" class=\"text\">\n\t\t\n\n<p><a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905405032303&amp;text=Bun\u0103%2C+v\u0103+contactez+de+pe+https%3A%2F%2Fozgurkilickesmez.com%2F&amp;type=phone_number&amp;app_absent=0\"><span style=\"color: #ffffff;\">WhatsApp 24\/7 <br \/>Apas\u0103 <\/span><span style=\"color: #ffffff;\">Aici!<\/span><\/a><\/p>\n\t\t\n<style>\n#text-3991427532 {\n  font-size: 1.5rem;\n  text-align: center;\n  color: rgb(255,255,255);\n}\n#text-3991427532 > * {\n  color: rgb(255,255,255);\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-454532350 > .col-inner {\n  padding: 30px 0px 12px 0px;\n  margin: 0px 0px -31px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-775519366\" class=\"col show-for-small medium-3 small-12 large-3\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-2\" style=\"background-color:rgb(37, 211, 102);\" >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-1036723148\" class=\"text\">\n\t\t\n\n<p><span style=\"color: #ffffff;\"><a style=\"color: #ffffff;\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905405032303&amp;text=Bun\u0103%2C+v\u0103+contactez+de+pe+https%3A%2F%2Fozgurkilickesmez.com%2F&amp;type=phone_number&amp;app_absent=0\">Apas\u0103 aici pentru suport WhatsApp 24\/7!<\/a><\/span><\/p>\n\t\t\n<style>\n#text-1036723148 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: rgb(255,255,255);\n}\n#text-1036723148 > * {\n  color: rgb(255,255,255);\n}\n@media (min-width:550px) {\n  #text-1036723148 {\n    font-size: 1.5rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-775519366 > .col-inner {\n  padding: 20px 0px 1px 0px;\n  margin: 0px 0px 0px 0px;\n  border-radius: 100px;\n}\n@media (min-width:550px) {\n  #col-775519366 > .col-inner {\n    margin: 0px 0px -40px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-58935795\" class=\"col medium-9 small-12 large-9\"  >\n\t\t\t\t<div class=\"col-inner text-left\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-width:0px 0px 0px 0px;margin:0px 0px 0px 0px;\">\n\t<\/div>\n\t\t\t\n\n<div class=\"row\"  id=\"row-457184373\">\n\n\n\t<div id=\"col-489838868\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f8836-o1\" lang=\"tr-TR\" dir=\"ltr\" data-wpcf7-id=\"8836\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ro\/wp-json\/wp\/v2\/posts\/13576#wpcf7-f8836-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"8836\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"tr_TR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f8836-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"sp-form\">\n\t<div class=\"col-row\">\n\t\t<div class=\"col-quarter\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-340\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nume\" value=\"\" type=\"text\" name=\"text-340\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-quarter\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel-10\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Telefon\" value=\"\" type=\"tel\" name=\"tel-10\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-quarter\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email-563\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-mail\" value=\"\" type=\"email\" name=\"email-563\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-quarter\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"TRIMITE\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"149\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-489838868 > .col-inner {\n  margin: 0px 0px -60px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-1671312903\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-1552763229\" class=\"text\">\n\t\t\n\n<p>*V\u0103 recomand\u0103m s\u0103 completa\u021bi toate c\u00e2mpurile pentru a primi cel mai bun r\u0103spuns posibil.<\/p>\n\t\t\n<style>\n#text-1552763229 {\n  font-size: 0.85rem;\n  line-height: 1.5;\n}\n@media (min-width:550px) {\n  #text-1552763229 {\n    line-height: 0.75;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1671312903 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-58935795 > .col-inner {\n  padding: 0px 0px 0px 0px;\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-58935795 > .col-inner {\n    padding: 20px 0px 0px 0px;\n    margin: 0px 0px -66px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1535358796 > .col-inner {\n  padding: 30px 10px 0px 10px;\n  border-radius: 30px;\n}\n@media (min-width:550px) {\n  #col-1535358796 > .col-inner {\n    padding: 0px 20px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1441117280 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n<h2><span class=\"ez-toc-section\" id=\"Cum_se_Diagnostica_Fistula_Arteriovenoasa_Durala\"><\/span>Cum se Diagnostic\u0103 Fistula Arteriovenoas\u0103 Dural\u0103?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p> Pentru diagnosticarea fistulelor arteriovenoase durale (DAVF) se utilizeaz\u0103 mai multe metode de imagistic\u0103 avansat\u0103 pentru a analiza \u00een detaliu boala. \u00cen primul r\u00e2nd, se efectueaz\u0103 imagistic\u0103 prin rezonan\u021b\u0103 magnetic\u0103 (IRM), metod\u0103 preferat\u0103 datorit\u0103 caracterului s\u0103u neinvaziv. IRM este important\u0103 pentru detectarea leziunilor cerebrale \u0219i pentru evaluarea anatomic\u0103 a fistulei. Aceast\u0103 metod\u0103 este completat\u0103 de angio-IRM, care permite observarea fluxului sanguin prin \u0219unturi.<\/p>\n<p>Metodele utilizate \u00een diagnosticul DAVF includ:<\/p>\n<ul>\n<li>Angiografia prin Rezonan\u021b\u0103 Magnetic\u0103 (MRA): Ca metod\u0103 cu rezolu\u021bie temporal\u0103, analizeaz\u0103 fazele arteriale \u0219i venoase. MRA ofer\u0103 imagini \u00een timp real ale fluxului sanguin \u0219i este eficient\u0103 \u00een determinarea modelului de drenaj al DAVF.<\/li>\n<li>Angiografia prin Tomografie Computerizat\u0103 (CTA): Folosind substan\u021b\u0103 de contrast, ofer\u0103 imagini de \u00eenalt\u0103 rezolu\u021bie ale vaselor de s\u00e2nge. CTA este esen\u021bial\u0103 \u00een situa\u021bii de urgen\u021b\u0103 pentru detectarea hemoragiei intracraniene \u0219i pentru identificarea arterelor alimentare ale DAVF.<\/li>\n<li>Angiografia Digital\u0103 cu Subtrac\u021bie (DSA): Reprezint\u0103 standardul de aur \u00een diagnosticul DAVF. Se injecteaz\u0103 substan\u021b\u0103 de contrast \u00een vasele de s\u00e2nge \u0219i se ob\u021bin imagini detaliate prin raze X. Aceast\u0103 metod\u0103 permite localizarea exact\u0103 a fistulei \u0219i, \u00een cazurile grave, detectarea refluxului venos cortical (KVR).<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Care_sunt_Optiunile_de_Tratament_pentru_Fistula_Arteriovenoasa_Durala\"><\/span>Care sunt Op\u021biunile de Tratament pentru Fistula Arteriovenoas\u0103 Dural\u0103?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p> Op\u021biunile de tratament pentru fistulele arteriovenoase durale (DAVF) sunt determinate \u00een func\u021bie de localizarea leziunii, starea pacientului \u0219i riscul de hemoragie. Printre metodele de tratament se num\u0103r\u0103 embolizarea endovascular\u0103, radiochirurgia stereotactic\u0103 \u0219i rezec\u021bia microchirurgical\u0103. Alegerea tratamentului adecvat depinde, \u00een general, de tipul de drenaj venos \u0219i de severitatea simptomelor. <\/p>\n<ul>\n<li>Embolizarea Endovascular\u0103: Este considerat\u0103 prima op\u021biune \u00een tratamentul DAVF \u0219i ofer\u0103 o abordare minim invaziv\u0103. Metoda blocheaz\u0103 conexiunea anormal\u0103 \u0219i opre\u0219te fluxul sanguin anormal spre creier, reduc\u00e2nd riscul de hemoragie. \u00cen timpul emboliz\u0103rii se utilizeaz\u0103 agen\u021bi embolici lichizi sau spirale (coils). Este metoda preferat\u0103 pentru DAVF-urile asociate cu drenaj venos cortical de mare risc.<\/li>\n<li>Radiochirurgia Stereotactic\u0103: Ofer\u0103 o op\u021biune neinvaziv\u0103, \u00een special pentru DAVF-urile localizate \u00een zone greu accesibile chirurgical. Metoda utilizeaz\u0103 radia\u021bii focalizate precis asupra conexiunii anormale \u0219i determin\u0103 \u00eenchiderea acesteia treptat\u0103. Este potrivit\u0103 pentru DAVF-urile mici \u0219i cu risc sc\u0103zut, care nu necesit\u0103 interven\u021bie urgent\u0103. Cu toate acestea, efectele apar dup\u0103 c\u00e2teva luni.<\/li>\n<li>Rezec\u021bia Microchirurgical\u0103: Se aplic\u0103 atunci c\u00e2nd celelalte op\u021biuni nu sunt suficiente sau nu au avut succes. Se efectueaz\u0103 craniotomie pentru a \u00eendep\u0103rta vasele anormale \u0219i este preferat\u0103 pentru DAVF-urile complexe sau localizate \u00een regiuni dificil de abordat. Este o solu\u021bie eficient\u0103 mai ales \u00een cazurile care nu pot fi tratate complet prin embolizare endovascular\u0103.<\/li>\n<\/ul>\n\n\t<section class=\"section dark\" id=\"section_527444609\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n\t<div id=\"gap-1545121376\" class=\"gap-element clearfix hide-for-medium\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1545121376 {\n  padding-top: 10px;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1011654730\">\r\n\r\n\n\t<div id=\"col-1895509212\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-4186362072\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contacteaz\u0103-l acum pe Prof. Dr. \u00d6zg\u00fcr K\u0131l\u0131\u00e7kesmez pentru informa\u021bii detaliate \u0219i pentru a programa o consulta\u021bie!<\/strong><\/div>\r\n\t\t\n<style>\n#text-4186362072 {\n  font-size: 1.25rem;\n  text-align: center;\n}\n@media (min-width:550px) {\n  #text-4186362072 {\n    font-size: 1.15rem;\n  }\n}\n@media (min-width:850px) {\n  #text-4186362072 {\n    font-size: 1.5rem;\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1895509212 > .col-inner {\n  padding: 20px 0px 0px 0px;\n  margin: 0px 0px -10px 0px;\n}\n@media (min-width:550px) {\n  #col-1895509212 > .col-inner {\n    padding: 0px 0px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-585487291\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-center\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905405032303&#038;text=Bun\u0103%2C+v\u0103+contactez+de+pe+https%3A%2F%2Fozgurkilickesmez.com%2F&#038;type=phone_number&#038;app_absent=0\" target=\"_blank\" class=\"button alert is-small box-shadow-5\" rel=\"noopener\" style=\"border-radius:10px;padding:5px 20px 5px 20px;\">\n\t\t<span>Contact prin Whatsapp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-585487291 > .col-inner {\n  padding: 20px 0px 0px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_527444609 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n  background-color: #396cf0;\n}\n<\/style>\n\t<\/section>\n\t\r\n\t<div id=\"gap-1110711735\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1110711735 {\n  padding-top: 20px;\n}\n<\/style>\n\t<\/div>\n\t\r\n\n<h2><span class=\"ez-toc-section\" id=\"Care_este_Prognosticul_Pacientilor_cu_Fistula_Arteriovenoasa_Durala\"><\/span>Care este Prognosticul Pacien\u021bilor cu Fistul\u0103 Arteriovenoas\u0103 Dural\u0103?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p> Prognosticul pacien\u021bilor cu fistul\u0103 arteriovenoas\u0103 dural\u0103 (DAVF) variaz\u0103 considerabil \u00een func\u021bie de tipul \u0219i severitatea fistulei, precum \u0219i de momentul diagnostic\u0103rii \u0219i al tratamentului. \u00cen cazurile diagnosticate precoce \u0219i tratate prin embolizare endovascular\u0103 sau interven\u021bie chirurgical\u0103, rezultatele sunt de obicei favorabile. La ace\u0219ti pacien\u021bi, complica\u021biile severe pot fi prevenite, iar simptomele se pot reduce semnificativ. Totu\u0219i, \u00een absen\u021ba tratamentului, \u00een special \u00een cazurile de grad \u00eenalt cu drenaj venos cortical, riscurile pot fi semnificative \u0219i pot pune via\u021ba pacientului \u00een pericol. DAVF-urile cu risc crescut netratate prezint\u0103 un risc ridicat de hemoragie intracranian\u0103 asociat\u0103 cu accidente vasculare cerebrale, convulsii sau deficite neurologice.<\/p>\n<p>\u00cen aceste cazuri, rata mortalit\u0103\u021bii cauzate de hemoragie cre\u0219te semnificativ. Prin urmare, interven\u021bia la timp \u00een DAVF-urile cu risc crescut este de o importan\u021b\u0103 critic\u0103 \u0219i \u00eembun\u0103t\u0103\u021be\u0219te calitatea vie\u021bii pacientului. Pe de alt\u0103 parte, unele DAVF-uri se \u00eencadreaz\u0103 \u00eentr-un grup de risc mai sc\u0103zut, \u00een special \u00een absen\u021ba drenajului venos cortical, unde riscul de complica\u021bii este considerabil mai mic. Pentru DAVF-urile cu risc sc\u0103zut, \u00een special la pacien\u021bii asimptomatici, interven\u021bia imediat\u0103 poate s\u0103 nu fie necesar\u0103.<\/p>\n<p>\u00cen cazurile DAVF cu risc sc\u0103zut, este recomandat\u0103 monitorizarea \u0219i este de obicei aplicat\u0103 \u00een urm\u0103toarele situa\u021bii:<\/p>\n<ul>\n<li aria-level=\"1\">Pacien\u021bi cu simptome u\u0219oare<\/li>\n<li aria-level=\"1\">Cazuri care prezint\u0103 doar tinitus pulsatil<\/li>\n<li aria-level=\"1\">Pacien\u021bi asimptomatici<\/li>\n<\/ul>\n<p> Monitorizarea regulat\u0103 \u0219i imagistica permit detectarea progresiei \u00eenainte ca aceasta s\u0103 devin\u0103 periculoas\u0103, iar m\u0103surile adecvate pot fi luate. Aceast\u0103 abordare constituie un proces eficient de urm\u0103rire pentru pacien\u021bii din grupul de risc sc\u0103zut. <\/p>\n<h2><span class=\"ez-toc-section\" id=\"Intrebari_Frecvente\"><\/span>\u00centreb\u0103ri Frecvente<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Cum se diagnosticheaz\u0103 fistula arteriovenoas\u0103 dural\u0103?<\/p>\n<p>Fistula arteriovenoas\u0103 dural\u0103 (DAVF) este diagnosticat\u0103 prin metode imagistice. Scan\u0103rile prin tomografie computerizat\u0103 (CT) pot ar\u0103ta acumularea de lichid sau hemoragia intracranian\u0103. Imagistica prin rezonan\u021b\u0103 magnetic\u0103 (IRM) ofer\u0103 o vizualizare detaliat\u0103 a structurii fistulei \u0219i a micilor hemoragii. Totu\u0219i, cea mai fiabil\u0103 metod\u0103 de diagnosticare este angiografia cerebral\u0103 pe baz\u0103 de cateter, cunoscut\u0103 sub denumirea de angiografie digital\u0103 cu substrac\u021bie (DSA); aceast\u0103 metod\u0103 identific\u0103 cu precizie num\u0103rul, localizarea, anatomia arterelor implicate \u0219i structura vaselor de s\u00e2nge.<\/p>\n<p>Cum se diferen\u021biaz\u0103 simptomele acestei boli de cele ale altor boli vasculare?<\/p>\n<p>Fistula arteriovenoas\u0103 dural\u0103 (DAVF) apare prin formarea de conexiuni anormale \u00eentre arterele \u0219i venele situate \u00een dura mater, membrana protectoare a creierului. Simptomele DAVF pot include dureri de cap, tinitus pulsatil, modific\u0103ri de vedere, edem ocular \u0219i, \u00een cazuri severe, tulbur\u0103ri neurologice precum convulsii sau sl\u0103biciune muscular\u0103. Aceste simptome sunt cauzate, de regul\u0103, de cre\u0219terea presiunii venoase care duce la umfl\u0103turi sau hemoragii \u00een creier. Spre deosebire de alte boli vasculare, DAVF nu este congenital\u0103 \u0219i se dezvolt\u0103 de obicei \u00een urma unor traume craniene, infec\u021bii sau tromboze \u00een sinusurile venoase cerebrale. Diagnosticul se stabile\u0219te de obicei prin metode imagistice precum RM, CT sau angiografie cerebral\u0103 pentru a vizualiza conexiunile anormale. Op\u021biunile de tratament includ \u00eenchiderea sau \u00eendep\u0103rtarea acestor conexiuni anormale prin proceduri endovasculare, chirurgie sau radiochirurgie, \u00een func\u021bie de localizarea \u0219i severitatea fistulei.<\/p>\n<p>C\u00e2t de eficient\u0103 este embolizarea \u00een tratamentul DAVF?<\/p>\n<p>Embolizarea este metoda principal\u0103 \u00een tratamentul fistulelor arteriovenoase durale (DAVF), iar rata de succes variaz\u0103 \u00een func\u021bie de tehnic\u0103 \u0219i de caracteristicile fistulei. Embolizarea transarterial\u0103 cu Onyx ofer\u0103 o obliterare complet\u0103 \u00een 55% p\u00e2n\u0103 la 85,7% dintre cazuri, iar rata complica\u021biilor majore este de aproximativ 4,1%. Embolizarea transvenoas\u0103 prezint\u0103 o rat\u0103 de succes \u00eentre 77,8% \u0219i 100%. \u00cen cazul DAVF-urilor spinale, tratamentul chirurgical are o rat\u0103 de ocluzie ini\u021bial\u0103 mai mare dec\u00e2t metodele endovasculare, dar poate avea rate mai ridicate de recidiv\u0103. Per ansamblu, embolizarea este o metod\u0103 eficient\u0103 \u00een tratamentul DAVF, \u00eens\u0103 rezultatele depind de tehnica utilizat\u0103 \u0219i de caracteristicile anatomice ale fistulei.<\/p>\n<p>Cum afecteaz\u0103 lipsa tratamentului s\u0103n\u0103tatea cerebral\u0103?<\/p>\n<p>Fistulele arteriovenoase durale (DAVF) netratate pot duce la complica\u021bii neurologice semnificative, incluz\u00e2nd deteriorarea cognitiv\u0103 \u0219i un risc crescut de hemoragie. Potrivit studiilor, 50% dintre pacien\u021bii cu DAVF \u2013 \u00een special cei cu reflux venos cortical \u2013 prezint\u0103 afectare cognitiv\u0103 \u00eentr-un domeniu sau mai multe. \u00cen plus, DAVF netratat\u0103 poate provoca demen\u021b\u0103 progresiv\u0103, convulsii \u0219i alte probleme neurologice din cauza hipertensiunii venoase \u0219i a leziunilor cerebrale ulterioare. Pentru a preveni aceste consecin\u021be negative \u0219i pentru a proteja s\u0103n\u0103tatea cerebral\u0103, este esen\u021bial ca diagnosticul \u0219i tratamentul s\u0103 fie aplicate la timp.<\/p>\n<p>Cum se modific\u0103 calitatea vie\u021bii pacien\u021bilor dup\u0103 tratament?<\/p>\n<p>Dup\u0103 tratamentul fistulei arteriovenoase durale (DAVF), se observ\u0103 o \u00eembun\u0103t\u0103\u021bire semnificativ\u0103 a calit\u0103\u021bii vie\u021bii pacien\u021bilor. Aproximativ 80% dintre pacien\u021bii trata\u021bi prezint\u0103 o ameliorare clinic\u0103 vizibil\u0103, \u00eembun\u0103t\u0103\u021biri ale func\u021biei motorii \u0219i reducerea simptomelor urinare \u0219i intestinale. Interven\u021biile chirurgicale ofer\u0103 rezultate favorabile \u00een 90,1% dintre cazuri, cu o rat\u0103 de complica\u021bii permanente de 4%. Embolizarea endovascular\u0103 realizeaz\u0103 o obliterare complet\u0103 \u00een 93,2% din cazuri \u00een decurs de 3-6 luni, iar 93% dintre pacien\u021bi prezint\u0103 o \u00eembun\u0103t\u0103\u021bire sau stabilitate conform Scorului Rankin Modificat. Ratele de recidiv\u0103 dup\u0103 tratament variaz\u0103 \u00eentre 4,5% \u0219i 11% \u00een decurs de 3 ani, subliniind astfel importan\u021ba monitoriz\u0103rii continue. \u00cen general, tratamentul DAVF aplicat la timp \u0219i corect duce la \u00eembun\u0103t\u0103\u021biri considerabile \u00een calitatea vie\u021bii pentru majoritatea pacien\u021bilor.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dural arteriovenoz\u0103 fistul\u0103 (DAVF) este o afec\u021biune vascular\u0103 caracterizat\u0103 prin conexiuni arterio-venoase anormale localizate \u00een meninge, care pot duce la hipertensiune venoas\u0103 intracranian\u0103 \u0219i simptome neurologice. \u00cen evaluarea fistulei arteriovenoase durale, angiografia este standardul de aur. Se examineaz\u0103 localizarea, modelul fluxului \u0219i drenajul venos pentru a determina nivelul de risc al evolu\u021biei clinice \u0219i pentru [&#8230;]\n","protected":false},"author":2,"featured_media":13574,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[359],"tags":[],"class_list":["post-13576","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/13576","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/comments?post=13576"}],"version-history":[{"count":2,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/13576\/revisions"}],"predecessor-version":[{"id":13579,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/13576\/revisions\/13579"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/media\/13574"}],"wp:attachment":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/media?parent=13576"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/categories?post=13576"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/tags?post=13576"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}