Extraspinal dural arteriovenous fistula in a patient with lipomyelodysplasia:: value of MRI and MRA

被引:14
作者
König, M
Hentsch, A
Schmieder, K
Harders, A
Heuser, L
机构
[1] Ruhr Univ Bochum, Dept Radiol & Nucl Med, Knappschaftkrankenhaus Langendreer, D-44892 Bochum, Germany
[2] Ruhr Univ Bochum, Dept Neurosurg, Knappschaftkrankenhaus Langendreer, D-44892 Bochum, Germany
关键词
spine; dysraphism; fistula; arteriovenous; magnetic resonance imaging; magnetic resonance angiography;
D O I
10.1007/s002340050810
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Spinal dural arteriovenous fistulae are extremely rare in spinal dysraphism. A fistulous malformation within a lipomyelomeningocele has not been reported previously. A 50-year-old man presented with progressive paraparesis and bladder dysfunction. MRI revealed a large lumbar lipomyelomeningocele. A vascular malformation was indicated by abnormal signal in the thoracolumbar spinal cord and dilated perimedullary veins. Phase-contrast MRA demonstrated only the slow-flow veins of the fistula and an intradural ascending vein. Contrast-enhanced ultra-fast MRA gave excellent delineation of all parts of the fistula within the dysraphic lesion.
引用
收藏
页码:579 / 583
页数:5
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