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Cervical Myelopathy Caused by Intracranial Dural Arteriovenous Fistula
Intracranial dural arteriovenous fistula (dAVF) usually results in various problems in the brain. But it can be presented as a myelopathy, which may make early diagnosis and management to be difficult. We recently experienced a case of cervical myelopathy caused by intracranial dAVF. A 60-year-old m...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Spinal Neurosurgery Society
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4949170/ https://www.ncbi.nlm.nih.gov/pubmed/27437016 http://dx.doi.org/10.14245/kjs.2016.13.2.67 |
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author | Kim, Won Young Kim, Jin Bum Nam, Taek Kyun Kim, Young Baeg Park, Seung Won |
author_facet | Kim, Won Young Kim, Jin Bum Nam, Taek Kyun Kim, Young Baeg Park, Seung Won |
author_sort | Kim, Won Young |
collection | PubMed |
description | Intracranial dural arteriovenous fistula (dAVF) usually results in various problems in the brain. But it can be presented as a myelopathy, which may make early diagnosis and management to be difficult. We recently experienced a case of cervical myelopathy caused by intracranial dAVF. A 60-year-old man presented with a 3-year history of gait disturbance due to a progressive weakness of both legs. Neurological examination revealed spastic paraparesis (grade IV) and Babinski sign on both sides. Magnetic resonance imaging showed serpentine vascular signal voids at C2-T1 on T2-weighted image with increased signal intensity and swelling of spinal cord at C1-C4. We performed a brain computed tomography angiography and found intracranial dAVF with multiple arteriovenous shunts. Venous drainages were noted at tentorial veins and cervical perimedullary veins. After Onyx embolization, the patient showed gradual improvement in motor power and gait disturbance. The venous drainage pattern is a well-known prognostic factor of dAVF. In our case, the intracranial dAVF drained to spinal perimedullary vein, which seemed to result in the ischemic myelopathy. Although it is rare condition, it sometimes can cause serious complications. Therefore, we should keep in mind the possibility of intracranial dAVF when a patient presents myelopathy. |
format | Online Article Text |
id | pubmed-4949170 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | The Korean Spinal Neurosurgery Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-49491702016-07-19 Cervical Myelopathy Caused by Intracranial Dural Arteriovenous Fistula Kim, Won Young Kim, Jin Bum Nam, Taek Kyun Kim, Young Baeg Park, Seung Won Korean J Spine Case Report Intracranial dural arteriovenous fistula (dAVF) usually results in various problems in the brain. But it can be presented as a myelopathy, which may make early diagnosis and management to be difficult. We recently experienced a case of cervical myelopathy caused by intracranial dAVF. A 60-year-old man presented with a 3-year history of gait disturbance due to a progressive weakness of both legs. Neurological examination revealed spastic paraparesis (grade IV) and Babinski sign on both sides. Magnetic resonance imaging showed serpentine vascular signal voids at C2-T1 on T2-weighted image with increased signal intensity and swelling of spinal cord at C1-C4. We performed a brain computed tomography angiography and found intracranial dAVF with multiple arteriovenous shunts. Venous drainages were noted at tentorial veins and cervical perimedullary veins. After Onyx embolization, the patient showed gradual improvement in motor power and gait disturbance. The venous drainage pattern is a well-known prognostic factor of dAVF. In our case, the intracranial dAVF drained to spinal perimedullary vein, which seemed to result in the ischemic myelopathy. Although it is rare condition, it sometimes can cause serious complications. Therefore, we should keep in mind the possibility of intracranial dAVF when a patient presents myelopathy. The Korean Spinal Neurosurgery Society 2016-06 2016-06-30 /pmc/articles/PMC4949170/ /pubmed/27437016 http://dx.doi.org/10.14245/kjs.2016.13.2.67 Text en Copyright © 2016 The Korean Spinal Neurosurgery Society http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Won Young Kim, Jin Bum Nam, Taek Kyun Kim, Young Baeg Park, Seung Won Cervical Myelopathy Caused by Intracranial Dural Arteriovenous Fistula |
title | Cervical Myelopathy Caused by Intracranial Dural Arteriovenous Fistula |
title_full | Cervical Myelopathy Caused by Intracranial Dural Arteriovenous Fistula |
title_fullStr | Cervical Myelopathy Caused by Intracranial Dural Arteriovenous Fistula |
title_full_unstemmed | Cervical Myelopathy Caused by Intracranial Dural Arteriovenous Fistula |
title_short | Cervical Myelopathy Caused by Intracranial Dural Arteriovenous Fistula |
title_sort | cervical myelopathy caused by intracranial dural arteriovenous fistula |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4949170/ https://www.ncbi.nlm.nih.gov/pubmed/27437016 http://dx.doi.org/10.14245/kjs.2016.13.2.67 |
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