Temporal evolution of a patient with a spinal dural arteriovenous fistula on serial MRI

Kim, Michael G.; Jeong, Sang Won; Solli, Elena; Amin, Anubhav G.; Ronecker, Jennifer S.; Bobra, S.

doi:10.1038/s41394-018-0039-x

Cited by 2 publications

(1 citation statement)

References 35 publications

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“…He was treated with glucocorticoids, which worsened his condition. Finally, he was diagnosed with spinal dural arteriovenous fistula, which is an uncommon cause of low back pain in clinical practice, as its clinical symptoms are not specific and it can be misdiagnosed as intervertebral disc herniation, spinal stenosis, acute myelitis, spinal demyelinating disease, syringomyelia, or spinal cord tumors [3][4][5]. There are reports that patients with spinal dural arteriovenous fistula have symptoms that persist for several years before receiving a confirmed diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Spinal Dural Arteriovenous Fistula with Low Back Pain as the Only Symptom at Onset: A Case Report

Ouyang,

Zhang,

et al. 2024

Am J Case Rep

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Objective:Unknown etiology Background:Spinal cord arteriovenous fistula that only manifests as lower back pain is easily misdiagnosed as myofasciitis, lumbar spondylosis, and other diseases, and incorrect treatment such as glucocorticoid blockade might be given, leading to worsening of the condition. Case Report:We analyze the clinical characteristics of a patient with spinal dural arteriovenous fistula who presented with chronic-onset low back pain. A patient with spinal dural arteriovenous fistula presented with chronic-onset low back pain as the only symptom, and was misdiagnosed as having myofasciitis. We assessed the paraclinical data, clinical reasoning, and course of treatment. The patient was an elderly man with low back pain for 1 year. He was diagnosed with myofasciitis in a local hospital and received local blocking treatment using glucocorticoid, and left lower-limb weakness appeared after that. After he was admitted to our hospital, enhanced thoracic and lumbar magnetic resonance imaging and selective spinal angiography were performed, and the results indicated the diagnosis of spinal dural arteriovenous fistula. After surgical treatment, the low back pain and lower-limb weakness were alleviated, and the patient is still under follow-up. Conclusions:The possibility of spinal dural arteriovenous fistula should not be overlooked among patients with chronic low back pain, and caution should be taken when using glucocorticoids for treatment of chronic low back pain.

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Section: Discussionmentioning

confidence: 99%

Spinal Dural Arteriovenous Fistula with Low Back Pain as the Only Symptom at Onset: A Case Report

Ouyang,

Zhang,

et al. 2024

Am J Case Rep

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show abstract

Review of spinal dural arteriovenous fistulas: Challenges, diagnostics, management, and pathophysiology

et al. 2023

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Temporal evolution of a patient with a spinal dural arteriovenous fistula on serial MRI

Abstract: Spinal dural arteriovenous fistulas are a rare but treatable cause of myelopathy, so it is important to understand its natural progression and radiologic findings as it is frequently misdiagnosed.

Cited by 2 publications

References 35 publications

Spinal Dural Arteriovenous Fistula with Low Back Pain as the Only Symptom at Onset: A Case Report

Spinal Dural Arteriovenous Fistula with Low Back Pain as the Only Symptom at Onset: A Case Report

Review of spinal dural arteriovenous fistulas: Challenges, diagnostics, management, and pathophysiology

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