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 |
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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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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.</description><identifier>ISSN: 0028-3886</identifier><identifier>EISSN: 1998-4022</identifier><identifier>DOI: 10.4103/0028-3886.360935</identifier><identifier>PMID: 36412391</identifier><language>eng</language><publisher>India: Wolters Kluwer India Pvt. 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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.</description><subject>Adult</subject><subject>Analysis</subject><subject>Angiography</subject><subject>Brain Neoplasms - complications</subject><subject>Brain Neoplasms - genetics</subject><subject>Brain Neoplasms - pathology</subject><subject>Brain Neoplasms - therapy</subject><subject>Care and treatment</subject><subject>Central Nervous System Vascular Malformations - etiology</subject><subject>Central Nervous System Vascular Malformations - physiopathology</subject><subject>Complications and side effects</subject><subject>Diagnosis</subject><subject>Dura Mater</subject><subject>Fistula, Arteriovenous</subject><subject>Glioma</subject><subject>Glioma - complications</subject><subject>Glioma - genetics</subject><subject>Glioma - physiopathology</subject><subject>Glioma - secondary</subject><subject>Glioma - therapy</subject><subject>Gliomas</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Meningeal Carcinomatosis - complications</subject><subject>Meningeal Carcinomatosis - physiopathology</subject><subject>Meningeal Carcinomatosis - secondary</subject><subject>Methods</subject><subject>Neoplasm Invasiveness</subject><subject>Risk factors</subject><subject>Spinal Cord Diseases - etiology</subject><subject>Spinal Cord Diseases - genetics</subject><subject>Spinal Cord Diseases - physiopathology</subject><subject>Vascular endothelial growth factor</subject><subject>Vascular Endothelial Growth Factor A - genetics</subject><subject>Vascular Endothelial Growth Factor A - physiology</subject><subject>Young men</subject><issn>0028-3886</issn><issn>1998-4022</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkktv1DAUhS0EokNhzwpZYp2p7ZvncjTQaaVBXbQsWFme5Dp1m9jBTjpizw_HQ9pCpZElP79zZPtcQj5ytkw5gzPGRJlAWeZLyFkF2Suy4FVVJikT4jVZPB-fkHch3MUlABdvyQnkKRdQ8QX5fT0Yqzr6ZfKxX_kRvXEPaN0U6LkJ49QpaixV9IebbEu_qQ7pKgRXGzViQ_dmvKVrr6xxYTba4jC6Hq2xLcbl9eBRNdTpaHETpwfRhWlvk41XDdJNZ1yv3pM3WnUBPzyOp-T7-deb9UWyvdpcrlfbpE5F-pDwGrKdUhnDivMKNHLIeY6QNUo3OddFtqtTBF5UKSuLRlegtN4pgFSVBWMIp-Tz7Dt493PCMMo7N_l46yBFAXlWCp4V_6g2PlYaq93oVd2bUMtVIfICBCvTSCVHqBYtxo90FrWJ2y_45RE-tgZ7Ux8VsFlQexeCRy0Hb3rlf0nO5CF9eYhXHuKVc_pR8unxfdOux-ZZ8BR3BK5mYO-6mHS476Y9ehnZe-v2L4yT_4wliFzOhSL_Fop8KhT4A7RewxQ</recordid><startdate>20220901</startdate><enddate>20220901</enddate><creator>Nagesh, Chinmay</creator><creator>Satischandra, Parthasarthy</creator><creator>Krishna, K</creator><creator>Joshi, Girish</creator><creator>Devaraj, Rashmi</creator><creator>Herur, Ajay</creator><general>Wolters Kluwer India Pvt. 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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.</abstract><cop>India</cop><pub>Wolters Kluwer India Pvt. Ltd</pub><pmid>36412391</pmid><doi>10.4103/0028-3886.360935</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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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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