Spinal Dural Arteriovenous Fistula in a Young Male Associated with Craniospinal Leptomeningeal Spread of a Treated High-Grade Glioma

Spinal dural arteriovenous fistulae (SDAVF) are most commonly idiopathic in origin but may occasionally be seen secondary to surgery, trauma, or inflammation. We report a case of 27-year-old male who came with features of a myelopathy. He was found to have an SDAVF associated with leptomeningeal spr...

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Veröffentlicht in:Neurology India 2022-09, Vol.70 (8), p.326-330
Hauptverfasser: Nagesh, Chinmay, Satischandra, Parthasarthy, Krishna, K, Joshi, Girish, Devaraj, Rashmi, Herur, Ajay
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container_issue 8
container_start_page 326
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creator Nagesh, Chinmay
Satischandra, Parthasarthy
Krishna, K
Joshi, Girish
Devaraj, Rashmi
Herur, Ajay
description Spinal dural arteriovenous fistulae (SDAVF) are most commonly idiopathic in origin but may occasionally be seen secondary to surgery, trauma, or inflammation. We report a case of 27-year-old male who came with features of a myelopathy. He was found to have an SDAVF associated with leptomeningeal spread (LMS) of a previously treated high-grade cerebral glioma. Hemorrhagic presentation of gliomas, as in this case, is due to upregulation of vascular endothelial growth factor, which has also been postulated to play a role in the development of SDAVFs. This may suggest a possible mechanism of induction of secondary SDAVFs associated with such tumors. While the coexistence of intracranial neoplasms with vascular malformations has been reported previously, this is the first case report of LMS of a high-grade glioma associated with an SDAVF.
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subjects Adult
Analysis
Angiography
Brain Neoplasms - complications
Brain Neoplasms - genetics
Brain Neoplasms - pathology
Brain Neoplasms - therapy
Care and treatment
Central Nervous System Vascular Malformations - etiology
Central Nervous System Vascular Malformations - physiopathology
Complications and side effects
Diagnosis
Dura Mater
Fistula, Arteriovenous
Glioma
Glioma - complications
Glioma - genetics
Glioma - physiopathology
Glioma - secondary
Glioma - therapy
Gliomas
Health aspects
Humans
Magnetic Resonance Imaging
Male
Meningeal Carcinomatosis - complications
Meningeal Carcinomatosis - physiopathology
Meningeal Carcinomatosis - secondary
Methods
Neoplasm Invasiveness
Risk factors
Spinal Cord Diseases - etiology
Spinal Cord Diseases - genetics
Spinal Cord Diseases - physiopathology
Vascular endothelial growth factor
Vascular Endothelial Growth Factor A - genetics
Vascular Endothelial Growth Factor A - physiology
Young men
title Spinal Dural Arteriovenous Fistula in a Young Male Associated with Craniospinal Leptomeningeal Spread of a Treated High-Grade Glioma
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