硬脑膜动静脉瘘(DAVF)是硬脑膜的动静脉异常沟通,良性的DVAF一般没有特殊症状而被忽略,恶性的DVAF常因出现搏动性头痛和颅内出血而被发现.DAVF患者辅助检查方法有DSA、SWI、MRA、CTA等,但惟一确诊手段还是靠DSA,且DVAF患者的治疗策略也主要是根据DSA检查结果来决定的.可以通过手术、介入和立体定向放射来治疗DAVF,目前血管内栓塞技术是主要的治疗方法.本文就DAVF的流行病学、自然史、病变分类、临床表现、影像学特征和治疗方案等方面作一综述.“,”Dural arteriovenous fistula ( DAVF) is an abnormal dural arteriovenous communication .Benign DVAF is usually ignored without specific symptoms , and malignant DVAF is often found due to pulsatile headache and intracranial hem -orrhage.DAVF patients with auxiliary examination methods are DSA , SWI, MRA, CTA, etc., but the only diagnostic means is DSA, and the treatment strategy of patients with DVAF is mainly based on the results of the DSA test to determine .Endo-vascular embolization can be used to treat DAVF , which is the main treatment method .This article reviews the epidemiology , natural history , classification , clinical manifestations , imaging features and treatment of DAVF .