Serious myelopathy due to magnetic resonance imaging-occult arteriovenous fistula: Case report of petrous ridge dural arteriovenous fistula

被引：7

作者：

Kim, Hyun Jeong ^{[1
]}

Choi, In Sup ^{[2
]}

机构：

[1] Catholic Univ Korea, Dept Radiol, Seoul, South Korea

[2] Lahey Clin Med Ctr, Dept Intervent Neuroradiol, Burlington, MA 01805 USA

来源：

INTERVENTIONAL NEURORADIOLOGY | 2015年 / 21卷 / 05期

关键词：

Dural arteriovenous fistula; spinal cord disease; myelopathy; magnetic resonance imaging; angiography; therapeutic embolization; DIFFUSE MR ENHANCEMENT; SPINAL-CORD; CLASSIFICATION; VESSELS; ABSENCE;

D O I：

10.1177/1591019915591742

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background and purpose: We present a case of magnetic resonance imaging (MRI)-occult intracranial dural arteriovenous fistula (DAVF) with serious cervical myelopathy and review the pathophysiological background. Summary of case: A 61-year-old man had suffered from progressive neurological deterioration. He had demonstrated swollen spinal cord with diffuse enhancement and no dilated vascularity on MRI. Finally, digital subtraction angiography revealed DAVF at the petrous ridge and it was successfully treated by embolization. Conclusion: A slow flow DAVF is not readily recognizable on MRI. Whenever a patient presents with unexplainable progressive myelopathy, a possibility of vascular origin has to be considered.

引用

收藏

页码：609 / 612

页数：4

相关论文

共 14 条

[1] Intracranial dural arteriovenous fistula showing diffuse MR enhancement of the spinal cord - Case report and review of the literature [J].

Asakawa, H ;

Yanaka, K ;

Fujita, K ;

Marushima, A ;

Anno, I ;

Nose, T .

SURGICAL NEUROLOGY, 2002, 58 (3-4) :251-257

[2] A PROPOSED CLASSIFICATION FOR SPINAL AND CRANIAL DURAL ARTERIOVENOUS FISTULOUS MALFORMATIONS AND IMPLICATIONS FOR TREATMENT [J].

BORDEN, JA ;

WU, JK ;

SHUCART, WA .

JOURNAL OF NEUROSURGERY, 1995, 82 (02) :166-179

[3] Intracranial dural fistula as a cause of diffuse MR enhancement of the cervical spinal cord [J].

Bousson, V ;

Brunereau, L ;

Vahedi, K ;

Chapot, R .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1999, 67 (02) :227-230

[4] CEREBRAL DURAL ARTERIOVENOUS-FISTULAS CLINICAL AND ANGIOGRAPHIC CORRELATION WITH A REVISED CLASSIFICATION OF VENOUS DRAINAGE [J].

COGNARD, C ;

GOBIN, YP ;

PIEROT, L ;

BAILLY, AL ;

HOUDART, E ;

CASASCO, A ;

CHIRAS, J ;

MERLAND, JJ .

RADIOLOGY, 1995, 194 (03) :671-680

[5] MR appearance of an intracranial dural arteriovenous fistula leading to cervical myelopathy [J].

Hähnel, S ;

Jansen, O ;

Geletneky, K .

NEUROLOGY, 1998, 51 (04) :1131-1135

[6] Spinal Dural Arteriovenous Fistulas [J].

Krings, T. ;

Geibprasert, S. .

AMERICAN JOURNAL OF NEURORADIOLOGY, 2009, 30 (04) :639-648

[7] Pial relations with spinal cord veins explain MRI occult spinal AV shunts [J].

Lasjaunias, P ;

Maillot, C ;

terBrugge, K .

INTERVENTIONAL NEURORADIOLOGY, 2000, 6 (04) :333-336

[8] Absence of abnormal vessels in the subarachnoid space on conventional magnetic resonance imaging in patients with spinal dural arteriovenous fistulas [J].

Miller, Timothy R. ;

Eskey, Clifford J. ;

Mamourian, Alexander C. .

NEUROSURGICAL FOCUS, 2012, 32 (05)

[9] Dural arteriovenous fistulas draining into the petrosal vein or bridging vein of the medulla: possible homologs of spinal dural arteriovenous fistulas [J].

Mitsuhashi, Yutaka ;

Aurboonyawat, Thaweesak ;

Pereira, Vitor Mendes ;

Geibprasert, Sasikhan ;

Toulgoat, Frederique ;

Ozanne, Augustin ;

Lasjaunias, Pierre .

JOURNAL OF NEUROSURGERY, 2009, 111 (05) :889-899

[10] Volumetric myelographic magnetic resonance imaging to localize difficult-to-find spinal dural arteriovenous fistulas Report of 3 cases [J].

Morris, Jonathan M. ;

Kaufmann, Timothy J. ;

Campeau, Norbert G. ;

Cloft, Harry J. ;

Lanzino, Giuseppe .

JOURNAL OF NEUROSURGERY-SPINE, 2011, 14 (03) :398-404