Tentorial Dural Arteriovenous Fistula Presenting with Quadriparesis: Case Report and Review of the Literature

被引：10

作者：

Khan, Sara ^{[1
]}

Polston, David W. ^{[1
]}

Shields, Robert W., Jr. ^{[1
]}

Rasmussen, Peter ^{[1
]}

Gupta, Rishi ^{[1
]}

机构：

[1] Cleveland Clin Fdn, Cleveland, OH 44195 USA

来源：

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES | 2009年 / 18卷 / 06期

关键词：

Tentorial dural arteriovenous fistula; myelopathy; perimedullary venous drainage; magnetic resonance imaging; SPINAL MEDULLARY VEINS; VENOUS DRAINAGE; CERVICAL MYELOPATHY; MALFORMATIONS; CLASSIFICATION; MANAGEMENT; EMBOLIZATION; CORD;

D O I：

10.1016/j.jstrokecerebrovasdis.2008.12.007

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Tentorial dural arteriovenous fistulas (TDAVFs) draining into the spinal venous system are rare lesions. The clinical presentation can be devastating and the diagnosis delayed because of the initial nonspecific imaging and laboratory findings. We report a case of a 20-year-old woman with a rapidly progressive myelopathy, who was found to have a left TDAVF, fed by a single arterial feeder with drainage into the perimedullary venous system. The fistula was surgically clipped. The patient showed neurologic improvement at her 3-month follow-up but still had significant weakness of all 4 extremities. Early diagnosis is key as the neurologic symptoms are reversible with appropriate treatment. We review the relevant literature, imaging characteristics, and treatment modalities for TDAVF.

引用

页码：428 / 434

页数：7

共 24 条

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