Relationship between diabetes mellitus with dural arteriovenous fistula.

Neuroradiology

PubMedID: 23811958

Lee DG, Zhao LB, Shim JH, Lee DH, Suh DC. Relationship between diabetes mellitus with dural arteriovenous fistula. Neuroradiology. 2013;55(9):1129-34.
INTRODUCTION
The aetiology of dural arteriovenous fistula (DAVF) is not well known, but it has been suggested that abnormality in angiogenesis plays a pathological role. Abnormality in angiogenesis is also involved in diabetes mellitus (DM). The purpose of this study was to quantify the relation between DAVF and DM in a Korean population.

METHODS
Medical records of 192 patients with DAVF between 2002 and 2011 were reviewed. Age, sex and the presence of DM, hypertension, hyperlipidaemia, stroke, coronary artery disease and cancers were compared between DAVF and control subjects. Data for control were obtained from the Korean National Health and Nutrition Examination Survey. The relationship of DM and DAVF location, presenting symptoms (benign vs. aggressive) and classification (Borden and Geibprasert) were assessed using the Pearson's chi-square test.

RESULTS
Prevalence of DM was higher in DAVF patients (19.8 %) than in controls (9.5 %; p?=?0.004). Univariate analysis showed that DM (odds ratio (OR), 2.356; 95 % confidence interval (CI), 1.634-3.399; p?
CONCLUSION
There was a positive relation between DM and DAVF in a Korean population. DAVFs with aggressive symptoms and behaviour were more commonly related to DM.