High cervical spinal subdural hemorrhage as a harbinger of craniocervical arteriovenous fistula: an unusual clinical presentation

The Spine Journal : Official Journal of the North American Spine Society
Manish K KasliwalDemetrius K Lopes

Abstract

Craniocervical dural arteriovenous fistula (dAVF) is rare as compared with the typical thoracolumbar dAVFs of the spine and usually presents with hemorrhagic manifestation, predominantly intracranial subarachnoid hemorrhage. We describe the first case of craniocervical dAVF with initial presentation as neck pain and spinal subdural hemorrhage. Case report. We present the case of a 59-year-old woman who presented with sudden onset of neck pain at an outside institution emergency department (ED) and was discharged after negative cervical spine radiographs. Magnetic resonance imaging of the cervical spine performed because of persistent pain demonstrated presence of high cervical spinal subdural hematoma and she was managed conservatively. She subsequently presented to our ED a week later with headache and was found to have an intraventricular hemorrhage on computed tomography scan of the head, which on subsequent workup with an angiography revealed the presence of a craniocervical dAVF. Surgical obliteration of the fistula was performed with use of intraoperative angiography as an adjunct to confirm complete fistula obliteration. She had an excellent clinical outcome with no deficits at her last follow-up at 9 months. Even though...Continue Reading

References

Jan 1, 1995·Acta neurochirurgica·B C HuffmannA Thron
Nov 17, 1998·Journal of Neurosurgery·H KinouchiT Yoshimoto
Jun 10, 2000·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·H HashimotoT Sakaki
May 18, 2001·Journal of Neurology·M H ReingesJ M Gilsbach
Jan 10, 2003·Neurosurgical Review·Hinnerk F W Wulf
Sep 30, 2006·Stroke; a Journal of Cerebral Circulation·Jürgen BeckVolker Seifert
Dec 16, 2006·Skull Base Surgery·R W HurstE S Flamm
Jan 7, 2010·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·L-M GuoJ-Y Jiang
Apr 24, 2010·AJNR. American Journal of Neuroradiology·D J KimK Terbrugge

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Citations

Jul 10, 2019·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Hernan R BelloRyan B Peterson
Oct 27, 2020·Journal of Craniovertebral Junction and Spine·Giuseppe Emmanuele UmanaSalvatore Cicero

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