A cervical dural arteriovenous fistula in a patient presenting with radiculopathy. Case report

Journal of Neurosurgery
M KohnoS Nemoto

Abstract

A 51-year-old man presenting with radiculopathy a rare cervical dural arteriovenous fistula (AVF) is reported. Angiography revealed that the cervical dural AVF was fed mainly by the left C-3 and C-4 radicular arteries and drained into the internal vertebral venous plexus with no communication with intradural structures. The dural AVF was treated surgically after embolization therapy. Although the AVF showed mass effect on computerized tomography (CT) scanning, abnormal vessels, which were suspected to drain the AVF, were observed intraoperatively to compress the left C-4 and C-5 nerve root sleeves. After resection of these abnormal epidural vessels, monoparesis of the left proximal upper extremity was markedly improved. In this patient, dynamic CT scanning was useful in the initial diagnosis, and the preoperative embolization therapy was very effective.

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Citations

Jul 1, 2008·Neuroradiology·Robert H AndresGerhard Schroth
Sep 22, 2009·Cardiovascular and Interventional Radiology·Manish ModiN Khandelwal
Nov 26, 2009·Journal of Neurosurgery. Spine·Sasikhan GeibprasertTimo Krings
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Dec 30, 2020·Asian Spine Journal·Kyung-Chung KangJung-Hee Lee

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Methods Mentioned

BETA
surgical resection

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