A cervical dural arteriovenous fistula in a patient presenting with radiculopathy

Kohno, Michihiro; Takahashi, Hiroshi; Ide, Katsuhisa; Ishijima, Buichi; Yamada, Katsuhiro; Nemoto, Shigeru

doi:10.3171/jns.1996.84.1.0119

Cited by 48 publications

(35 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…3,9,22) Epidural AVF accounts for approximately 1.6% of all spinal AVMs, 3) and drains mostly into the internal vertebral venous plexus. [1][2][3][4][5][6][8][9][10][11][12][13][14][15]17,[20][21][22]24,26,27) This type of AVF is also known as extradural, paravertebral, and paraspinal AVF. [1][2][3][4][5][6][8][9][10][11][12][13][14][15]17,20,22,24,26,27) Our series of 137 patients with spinal AVM treated since 1986 includes 22 (16%) with intramedullary AVM, 45 (33%) with perimedullary AVF, 65 (47%) with dural AVM, and 5 (4%) with epidural AVF.…”

Section: Introductionmentioning

confidence: 99%

Cervical Epidural Arteriovenous Fistula With Radiculopathy Mimicking Cervical Spondylosis -Case Report-

Kawabori

Hida

Yano

et al. 2009

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

A 65-year-old woman presented with a rare case of cervical epidural arteriovenous fistula (AVF) manifesting as radiculopathy of the right upper extremity that mimicked cervical spondylosis. She had a 2-month history of gradually progressive right-hand motor weakness and sensory disturbance. The initial diagnosis was cervical disk herniation. However, computed tomography with contrast medium showed abnormal enhancement at the right C5-6 and C6-7 intervertebral foramina. Magnetic resonance (MR) imaging with gadolinium disclosed an enhanced abnormal epidural mass at the dorsal surface of the dural tube between the C5 and C6 vertebrae. T 2 -weighted MR imaging showed a slight flow void on the dorsal and ventral surfaces of the spinal cord between C3 and T4. Digital subtraction angiography disclosed cervical epidural and dural AVFs fed by the C5 and C6 radicular arteries. The diagnosis was concomitant epidural and dural AVFs. The dilated internal vertebral venous plexus attributable to epidural AVF was considered to be responsible for the radiculopathy. Transarterial embolization using n-butylcyanoacrylate achieved complete occlusion of the lesions. Her symptoms improved immediately and MR imaging and angiography performed 10 days postembolization showed reduction of both the epidural and dural AVFs.

show abstract

Section: Introductionmentioning

confidence: 99%

Cervical Epidural Arteriovenous Fistula With Radiculopathy Mimicking Cervical Spondylosis -Case Report-

Kawabori

Hida

Yano

et al. 2009

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

show abstract

“…Fistulas at cervical levels are rare; the highest encountered level in a previously published series was C-7. 38 There are only 2 reports of patients with cervical DAVFs in the literature: 1 patient presented with radiculopathy 20 and, remarkably, the other presented without medullary dysfunction. 9 The rare but possible occurrence of a cervical DAVF requires that the entire length of the spinal dura mater be examined on Gd-enhanced MR and spinal angiography.…”

Section: Spinal Davf Locationmentioning

confidence: 99%

Overview of the current role of endovascular and surgical treatment in spinal dural arteriovenous fistulas

Dehdashti¹,

Costa

terBrugge

et al. 2009

FOC

View full text Add to dashboard Cite

Dural arteriovenous fistulas are the most common vascular malformations of the spinal cord. These benign vascular lesions are considered straightforward targets of surgical treatment and possibly endovascular embolization, but the outcome in these cases depends mainly on the extent of clinical dysfunction at the time of the diagnosis. A timely diagnosis is an equally important factor, with early treatment regardless of the type more likely to yield significant improvements in neurological functioning. The outcomes after surgical and endovascular treatment are similar if complete obliteration of the fistulous site is obtained. In the present study, the authors evaluated the current role of each modality in the management of these interesting lesions.

show abstract

“…22) Less common causes include trauma, intra-or extraspinal tumors, synovial cysts, 15,20) synovial chondromatosis, 4,13) dural arteriovenous fistulae, 11) and tortuous vertebral arteries. 8) None of these conditions appeared to be causative in our patient.…”

Section: Introductionmentioning

confidence: 99%

Hypertrophic Synovial Mass Resulting in C8 Radiculopathy -Case Report-

Sasamori

Isu

Morimoto

et al. 2010

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

A 58-year-old man presented with a hypertrophic synovial mass manifesting as left C8 radiculopathy. Computed tomography revealed hypertrophic changes in the left C7-T1 facet joint and widening of the interarticular space. Magnetic resonance imaging showed left C7-T1 foraminal stenosis attributable to a periarticular mass enhanced with gadolinium. Decompression surgery of the left C8 nerve root was performed. During left C7-T1 facetectomy we detected inflamed soft tissue occupying the interarticular space with extension toward the intervertebral foramen. The mass markedly compressed the left C8 nerve root and was gross totally removed. The histological diagnosis was proliferated fibrous connective tissue compatible with hypertrophic synovial tissue. Postoperatively, his neurological condition improved remarkably. The surgical and pathological findings in our patient indicate that this clinical condition is important in the differential diagnosis in adult patients presenting with cervical radiculopathy.

show abstract

A cervical dural arteriovenous fistula in a patient presenting with radiculopathy

Cited by 48 publications

References 16 publications

Cervical Epidural Arteriovenous Fistula With Radiculopathy Mimicking Cervical Spondylosis -Case Report-

Cervical Epidural Arteriovenous Fistula With Radiculopathy Mimicking Cervical Spondylosis -Case Report-

Overview of the current role of endovascular and surgical treatment in spinal dural arteriovenous fistulas

Hypertrophic Synovial Mass Resulting in C8 Radiculopathy -Case Report-

Contact Info

Product

Resources

About