Teaching NeuroImage: Foramen Magnum Dural Arteriovenous Fistula Presenting With Thoracolumbar Myelopathy

被引：0

作者：

Niu, Xiaodong ^{[1
]}

Wang, Hua ^{[2
]}

Li, Jin ^{[1
]}

机构：

[1] Sichuan Univ, Dept Neurosurg, West China Hosp, Chengdu, Peoples R China

[2] Sichuan Univ, West China Hosp, Operating Room, Chengdu, Peoples R China

来源：

NEUROLOGY | 2024年 / 102卷 / 10期

关键词：

D O I：

暂无

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 71-year-old man presented with a 3-year history of weakness and numbness in his lower limbs. Neurologic examination revealed decreased muscle strength in both lower limbs (grade 3), decreased sensation below T8, and bowel and urine dysfunction. No specific treatment had been given. Spinal MRI showed cervical flow voids and vessel enhancement and thoracolumbar spinal cord edema. Spinal angiography was negative, and cerebral digital subtraction angiography/computer tomography angiography revealed a foramen magnum dural arteriovenous fistula (FMDAVF; Figure 1). Surgical disconnection is a universally curative and frontline treatment of craniocervical junction (CCJ) arteriovenous fistulas (AVFs).1 The fistula was successfully removed by microsurgical clipping (Figure 2), and the postoperative symptoms gradually improved.

引用

页数：2