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Cervical extradural arteriovenous fistula with radiculopathy managed endovascularly
BACKGROUND: Extradural arteriovenous fistulas (AVFs) of the cervical spine are extremely rare, and typically manifest as slowly progressive myelopathy caused by mass effect. This is a unique case of extradural AVF of the cervical spine manifesting with purely radicular symptoms and treated endovascu...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10408600/ https://www.ncbi.nlm.nih.gov/pubmed/37560569 http://dx.doi.org/10.25259/SNI_306_2023 |
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author | Santangelo, Gabrielle Singh, Aman Rahmani, Redi Kessler, Alexander Bender, Matthew |
author_facet | Santangelo, Gabrielle Singh, Aman Rahmani, Redi Kessler, Alexander Bender, Matthew |
author_sort | Santangelo, Gabrielle |
collection | PubMed |
description | BACKGROUND: Extradural arteriovenous fistulas (AVFs) of the cervical spine are extremely rare, and typically manifest as slowly progressive myelopathy caused by mass effect. This is a unique case of extradural AVF of the cervical spine manifesting with purely radicular symptoms and treated endovascularly with coil and liquid embolization. CASE DESCRIPTION: A 55-year-old woman presented with neck pain and right upper extremity radiculopathy persisting for 9 months. Imaging studies demonstrated an AVF spanning from C4–C6 with extension into the C5–C6 foramen supplied primarily from the deep cervical branch of the costocervical trunk. The patient underwent successful coil and liquid (Onyx) embolization. Six-week postoperatively, the patient’s symptoms completely resolved and magnetic resonance imaging and angiographic imaging confirmed complete obliteration of the fistula. CONCLUSION: While extradural AVFs typically present with myelopathic symptoms, they may present with solely radicular symptoms and can be successfully treated endovascularly. |
format | Online Article Text |
id | pubmed-10408600 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-104086002023-08-09 Cervical extradural arteriovenous fistula with radiculopathy managed endovascularly Santangelo, Gabrielle Singh, Aman Rahmani, Redi Kessler, Alexander Bender, Matthew Surg Neurol Int Case Report BACKGROUND: Extradural arteriovenous fistulas (AVFs) of the cervical spine are extremely rare, and typically manifest as slowly progressive myelopathy caused by mass effect. This is a unique case of extradural AVF of the cervical spine manifesting with purely radicular symptoms and treated endovascularly with coil and liquid embolization. CASE DESCRIPTION: A 55-year-old woman presented with neck pain and right upper extremity radiculopathy persisting for 9 months. Imaging studies demonstrated an AVF spanning from C4–C6 with extension into the C5–C6 foramen supplied primarily from the deep cervical branch of the costocervical trunk. The patient underwent successful coil and liquid (Onyx) embolization. Six-week postoperatively, the patient’s symptoms completely resolved and magnetic resonance imaging and angiographic imaging confirmed complete obliteration of the fistula. CONCLUSION: While extradural AVFs typically present with myelopathic symptoms, they may present with solely radicular symptoms and can be successfully treated endovascularly. Scientific Scholar 2023-07-28 /pmc/articles/PMC10408600/ /pubmed/37560569 http://dx.doi.org/10.25259/SNI_306_2023 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Santangelo, Gabrielle Singh, Aman Rahmani, Redi Kessler, Alexander Bender, Matthew Cervical extradural arteriovenous fistula with radiculopathy managed endovascularly |
title | Cervical extradural arteriovenous fistula with radiculopathy managed endovascularly |
title_full | Cervical extradural arteriovenous fistula with radiculopathy managed endovascularly |
title_fullStr | Cervical extradural arteriovenous fistula with radiculopathy managed endovascularly |
title_full_unstemmed | Cervical extradural arteriovenous fistula with radiculopathy managed endovascularly |
title_short | Cervical extradural arteriovenous fistula with radiculopathy managed endovascularly |
title_sort | cervical extradural arteriovenous fistula with radiculopathy managed endovascularly |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10408600/ https://www.ncbi.nlm.nih.gov/pubmed/37560569 http://dx.doi.org/10.25259/SNI_306_2023 |
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