{"id":197,"date":"2021-01-12T14:56:21","date_gmt":"2021-01-12T13:56:21","guid":{"rendered":"https:\/\/www.chu-tours.fr\/nri\/?page_id=197"},"modified":"2021-02-01T17:08:46","modified_gmt":"2021-02-01T16:08:46","slug":"fistule-durale","status":"publish","type":"page","link":"https:\/\/www.chu-tours.fr\/nri\/fistule-durale\/","title":{"rendered":"Fistule durale"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"197\" class=\"elementor elementor-197\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8834da3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8834da3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bd721ea\" data-id=\"bd721ea\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-09962e7 elementor-widget elementor-widget-global elementor-global-564 elementor-widget-image\" data-id=\"09962e7\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"381\" height=\"400\" src=\"https:\/\/www.chu-tours.fr\/nri\/wp-content\/uploads\/sites\/8\/2021\/02\/Logo_NRI_tours_h400_trans.png\" class=\"attachment-full size-full wp-image-686\" alt=\"logo NRI CHRU Tours fond transparent\" srcset=\"https:\/\/www.chu-tours.fr\/nri\/wp-content\/uploads\/sites\/8\/2021\/02\/Logo_NRI_tours_h400_trans.png 381w, https:\/\/www.chu-tours.fr\/nri\/wp-content\/uploads\/sites\/8\/2021\/02\/Logo_NRI_tours_h400_trans-286x300.png 286w\" sizes=\"(max-width: 381px) 100vw, 381px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7dd67d6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7dd67d6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-221ee59\" data-id=\"221ee59\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fc02d34 elementor-widget elementor-widget-heading\" data-id=\"fc02d34\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Fistule durale<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-393d99c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"393d99c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-bf02fd9\" data-id=\"bf02fd9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e9ac178 elementor-widget elementor-widget-text-editor\" data-id=\"e9ac178\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><b>Une fistule durale est une communication anormale entre une ou plusieurs art\u00e8res vascularisant la m\u00e9ninge, qui enveloppe le parenchyme c\u00e9r\u00e9bral, et une ou plusieurs veines c\u00e9r\u00e9brales, pouvant \u00eatre \u00e0 l\u2019origine d\u2019une g\u00eane au retour veineux du cerveau. Il s\u2019agit d\u2019une l\u00e9sion <\/b><span style=\"color: #ed1164;\"><b>acquise <\/b><\/span><b>\u00e0 l\u2019\u00e2ge adulte.<\/b><\/p><p>Les <span style=\"color: #ed1164;\"><strong>sympt\u00f4mes peuvent \u00eatre de plusieurs types<\/strong><\/span>, et d\u00e9pendent de la localisation de la fistule. La fistule peut ainsi \u00eatre \u00e0 l\u2019origine :<\/p><ul><li>d\u2019un acouph\u00e8ne pulsatile unilat\u00e9ral,<\/li><li>d\u2019un \u0153il rouge et douloureux,<\/li><li>d\u2019un saignement intracr\u00e2nien,<\/li><li>d\u2019un d\u00e9clin cognitif.<\/li><\/ul><p>Il arrive qu\u2019une fistule soit d\u00e9couverte fortuitement, \u00e0 l\u2019occasion d\u2019un bilan r\u00e9alis\u00e9 pour une autre pathologie.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f90a817 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f90a817\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-03d5543\" data-id=\"03d5543\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c5e671e elementor-widget elementor-widget-image\" data-id=\"c5e671e\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.chu-tours.fr\/nri\/wp-content\/uploads\/sites\/8\/2021\/01\/fistule-durale.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"fistule-durale\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTk5LCJ1cmwiOiJodHRwczpcL1wvd3d3LmNodS10b3Vycy5mclwvbnJpXC93cC1jb250ZW50XC91cGxvYWRzXC9zaXRlc1wvOFwvMjAyMVwvMDFcL2Zpc3R1bGUtZHVyYWxlLmpwZyJ9\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"768\" height=\"432\" src=\"https:\/\/www.chu-tours.fr\/nri\/wp-content\/uploads\/sites\/8\/2021\/01\/fistule-durale-768x432.jpg\" class=\"attachment-medium_large size-medium_large wp-image-199\" alt=\"Fistule durale\" srcset=\"https:\/\/www.chu-tours.fr\/nri\/wp-content\/uploads\/sites\/8\/2021\/01\/fistule-durale-768x432.jpg 768w, https:\/\/www.chu-tours.fr\/nri\/wp-content\/uploads\/sites\/8\/2021\/01\/fistule-durale-300x169.jpg 300w, https:\/\/www.chu-tours.fr\/nri\/wp-content\/uploads\/sites\/8\/2021\/01\/fistule-durale-1024x576.jpg 1024w, https:\/\/www.chu-tours.fr\/nri\/wp-content\/uploads\/sites\/8\/2021\/01\/fistule-durale-388x219.jpg 388w, https:\/\/www.chu-tours.fr\/nri\/wp-content\/uploads\/sites\/8\/2021\/01\/fistule-durale-656x369.jpg 656w, https:\/\/www.chu-tours.fr\/nri\/wp-content\/uploads\/sites\/8\/2021\/01\/fistule-durale.jpg 1333w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Fistule durale<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ea372a1 elementor-widget elementor-widget-text-editor\" data-id=\"ea372a1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Sa prise en charge th\u00e9rapeutique est <span style=\"color: #ed1164;\"><strong>sp\u00e9cialis\u00e9e<\/strong><\/span>, et n\u00e9cessite une <strong><span style=\"color: #ed1164;\">discussion en r\u00e9union de concertation pluridisciplinaire <\/span><\/strong><a href=\"https:\/\/www.chu-tours.fr\/nri\/larteriographie\/\" target=\"_blank\" rel=\"noopener\">apr\u00e8s r\u00e9alisation d\u2019une art\u00e9riographie<\/a><strong>.<\/strong><\/p><p>En fonction de la fistule et notamment de sa symptomatologie, plusieurs prises en charge sont possibles\u00a0:<\/p><ul><li>l\u2019abstention,<\/li><li>la <a href=\"https:\/\/www.chu-tours.fr\/etre-soigne-et-rendre-visite-a-un-patient\/joindre-le-chru\/liste-des-services\/neurochirurgie-hospitalisation-complete-et-consultations-externes-adultes-bretonneau\/\" target=\"_blank\" rel=\"noopener\">chirurgie<\/a>,<\/li><li>le traitement endovasculaire.<\/li><\/ul><p>Dans ces deux derniers cas, l\u2019objectif est d\u2019occlure la communication anormale.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d1fbcfb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d1fbcfb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f2cd126\" data-id=\"f2cd126\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0a9f745 elementor-list-item-link-inline elementor-icon-list--layout-traditional elementor-widget elementor-widget-global elementor-global-147 elementor-widget-icon-list\" data-id=\"0a9f745\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.chu-tours.fr\/nri\/contacts\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-info-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Pour tout renseignement compl\u00e9mentaire, contacter le secr\u00e9tariat de neuroradiologie interventionnelle.<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Fistule durale Une fistule durale est une communication anormale entre une ou plusieurs art\u00e8res vascularisant la m\u00e9ninge, qui enveloppe le parenchyme c\u00e9r\u00e9bral, et une ou plusieurs veines c\u00e9r\u00e9brales, pouvant \u00eatre \u00e0 l\u2019origine d\u2019une g\u00eane au retour veineux du cerveau. Il s\u2019agit d\u2019une l\u00e9sion acquise \u00e0 l\u2019\u00e2ge adulte. Les sympt\u00f4mes peuvent \u00eatre de plusieurs types, et [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"CHRU de Tours. Neuro-Radiologie Interventionnelle. Fistules durales.","_seopress_titles_desc":"Service de Neuro-Radiologie Interventionnelle du CHRU de Tours. Qu&#039;est-ce q&#039;une fistule durale ?","_seopress_robots_index":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"publishpress_future_action":{"enabled":false,"date":"2026-05-23 23:18:10","action":"change-status","newStatus":"draft","terms":[],"taxonomy":""},"_links":{"self":[{"href":"https:\/\/www.chu-tours.fr\/nri\/wp-json\/wp\/v2\/pages\/197"}],"collection":[{"href":"https:\/\/www.chu-tours.fr\/nri\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.chu-tours.fr\/nri\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/nri\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/nri\/wp-json\/wp\/v2\/comments?post=197"}],"version-history":[{"count":23,"href":"https:\/\/www.chu-tours.fr\/nri\/wp-json\/wp\/v2\/pages\/197\/revisions"}],"predecessor-version":[{"id":622,"href":"https:\/\/www.chu-tours.fr\/nri\/wp-json\/wp\/v2\/pages\/197\/revisions\/622"}],"wp:attachment":[{"href":"https:\/\/www.chu-tours.fr\/nri\/wp-json\/wp\/v2\/media?parent=197"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}