Lumbar spinal dural arteriovenous fistula presenting with brainstem symptomatology: a case report

Wu, Seaman; Tsui, Huan-Wen; Chuang, Yung Chun; Kuo, Hsin-Chih; Chen, C.-J.

doi:10.1080/02841850600767732

Cited by 4 publications

(1 citation statement)

References 10 publications

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“…Ascending along with descending venous drainage was detected in the present case, resulting in dysfunction due to brainstem congestion. The previous two cases of cervical DAVFs and one of lumbar spinal DAVF that presented brainstem dysfunctions demonstrated a similar ascending venous drainage (Table 1)10,19,20). The pathological mechanism is thought to involve blood flow of the venous drainage.…”

Section: Discussionmentioning

confidence: 89%

Brainstem Congestion due to Dural Ateriovenous Fistula at the Craniocervical Junction

Wang

Shin

et al. 2014

J Korean Neurosurg Soc

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Dural ateriovenous fistula (DAVF) at the craniocervical junction is rare. We report a patient presenting with brainstem dysfunction as an uncommon onset. Brainstem lesion was suggested by magnetic resonance image study. Angiogram revealed a DAVF at a high cervical segment supplied by the meningeal branch of the right vertebral artery, with ascending and descending venous drainage. Complete obliteration of the fistula was achieved via transarterial Onyx embolization. Clinical cure was achieved in the follow-up period; meanwhile, imaging abnormalities of this case disappeared. Accordingly, we hypothesize that a brainstem lesion of this case was caused by craniocervical DAVF, which induced venous hypertension. Thus, venous drainage patterns should be paid attention to because they are important for diagnosis and theraputic strategy.

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Section: Discussionmentioning

confidence: 89%