Progressive Myelopathy Caused by Dural Arteriovenous Fistula at the Craniocervical Junction —Case Report
A 68-year-old male presented an unusual dural arteriovenous fistula (AVF) located at the craniocervical junction. Magnetic resonance imaging revealed dilated perimedullary veins around the spinal cord at C-1 and C-2 levels, as well as high intensity signals in the spinal cord on T2-weighted images....
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| Veröffentlicht in: | Neurologia medico-chirurgica 1999, Vol.39(5), pp.376-379 |
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| container_title | Neurologia medico-chirurgica |
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| creator | YOSHIDA, Shinzo ODA, Yoshifumi KAWAKAMI, Yasuto SATO, Shinichi |
| description | A 68-year-old male presented an unusual dural arteriovenous fistula (AVF) located at the craniocervical junction. Magnetic resonance imaging revealed dilated perimedullary veins around the spinal cord at C-1 and C-2 levels, as well as high intensity signals in the spinal cord on T2-weighted images. Vertebral angiography identified an AVF at the point where the right vertebral artery penetrates the dura. The fistula was a single and direct communication between the vertebral artery and the spinal vein. Surgical interruption of the fistula at its venous side resulted in prompt improvement of both motor and sensory signs and symptoms. |
| doi_str_mv | 10.2176/nmc.39.376 |
| format | Article |
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Magnetic resonance imaging revealed dilated perimedullary veins around the spinal cord at C-1 and C-2 levels, as well as high intensity signals in the spinal cord on T2-weighted images. Vertebral angiography identified an AVF at the point where the right vertebral artery penetrates the dura. The fistula was a single and direct communication between the vertebral artery and the spinal vein. Surgical interruption of the fistula at its venous side resulted in prompt improvement of both motor and sensory signs and symptoms.</description><identifier>ISSN: 0470-8105</identifier><identifier>EISSN: 1349-8029</identifier><identifier>DOI: 10.2176/nmc.39.376</identifier><identifier>PMID: 10481442</identifier><language>eng</language><publisher>Japan: The Japan Neurosurgical Society</publisher><subject>Aged ; Arteriovenous Fistula - complications ; Arteriovenous Fistula - diagnosis ; Arteriovenous Fistula - surgery ; craniocervical junction ; Diagnosis, Differential ; Dura Mater - blood supply ; dural arteriovenous fistula ; Humans ; Male ; Muscle Hypotonia - etiology ; myelopathy ; Neuromuscular Diseases - etiology ; Paresis - etiology ; single fistula ; Spinal Cord - blood supply ; Treatment Outcome ; venous hypertension ; Vertebral Artery - abnormalities ; Vertebral Artery - surgery</subject><ispartof>Neurologia medico-chirurgica, 1999, Vol.39(5), pp.376-379</ispartof><rights>The Japan Neurosurgical Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-d0a39a073c0aff134302c7b7bfc60ed85b838c4650820b159cb07129935b41da3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10481442$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>YOSHIDA, Shinzo</creatorcontrib><creatorcontrib>ODA, Yoshifumi</creatorcontrib><creatorcontrib>KAWAKAMI, Yasuto</creatorcontrib><creatorcontrib>SATO, Shinichi</creatorcontrib><title>Progressive Myelopathy Caused by Dural Arteriovenous Fistula at the Craniocervical Junction —Case Report</title><title>Neurologia medico-chirurgica</title><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><description>A 68-year-old male presented an unusual dural arteriovenous fistula (AVF) located at the craniocervical junction. Magnetic resonance imaging revealed dilated perimedullary veins around the spinal cord at C-1 and C-2 levels, as well as high intensity signals in the spinal cord on T2-weighted images. Vertebral angiography identified an AVF at the point where the right vertebral artery penetrates the dura. The fistula was a single and direct communication between the vertebral artery and the spinal vein. Surgical interruption of the fistula at its venous side resulted in prompt improvement of both motor and sensory signs and symptoms.</description><subject>Aged</subject><subject>Arteriovenous Fistula - complications</subject><subject>Arteriovenous Fistula - diagnosis</subject><subject>Arteriovenous Fistula - surgery</subject><subject>craniocervical junction</subject><subject>Diagnosis, Differential</subject><subject>Dura Mater - blood supply</subject><subject>dural arteriovenous fistula</subject><subject>Humans</subject><subject>Male</subject><subject>Muscle Hypotonia - etiology</subject><subject>myelopathy</subject><subject>Neuromuscular Diseases - etiology</subject><subject>Paresis - etiology</subject><subject>single fistula</subject><subject>Spinal Cord - blood supply</subject><subject>Treatment Outcome</subject><subject>venous hypertension</subject><subject>Vertebral Artery - abnormalities</subject><subject>Vertebral Artery - surgery</subject><issn>0470-8105</issn><issn>1349-8029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpN0MFuEzEQBmALgWhUeuEBkE8ckDaM197YPlYLpUVFIARny_bONq42u8H2RsqtD9En5ElwlFD1Yh_86Z_xT8hbBsuaydXHceOXXC-5XL0gC8aFrhTU-iVZgJBQKQbNGblIKTiAWijBlXxNzhgIxYSoF-T-R5zuIhawQ_ptj8O0tXm9p62dE3bU7emnOdqBXsaMMUw7HKc50auQ8jxYajPNa6RttGOYPMZd8MV-nUefwzTSvw-PrU1If-J2ivkNedXbIeHF6T4nv68-_2qvq9vvX27ay9vKN1DnqgPLtQXJPdi-Lz_iUHvppOv9CrBTjVNcebFqQNXgWKO9A8lqrXnjBOssPyfvj7nbOP2ZMWWzCcnjMNgRy_JGAnABShf44Qh9nFKK2JttDBsb94aBOZRrSrmGa1PKLfjdKXV2G-ye0WOVBbRHcJ-yvcMnYGMOfsBDFtONPuQ1p6NM-P_q1zYaHPk_PIKOoA</recordid><startdate>1999</startdate><enddate>1999</enddate><creator>YOSHIDA, Shinzo</creator><creator>ODA, Yoshifumi</creator><creator>KAWAKAMI, Yasuto</creator><creator>SATO, Shinichi</creator><general>The Japan Neurosurgical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1999</creationdate><title>Progressive Myelopathy Caused by Dural Arteriovenous Fistula at the Craniocervical Junction —Case Report</title><author>YOSHIDA, Shinzo ; ODA, Yoshifumi ; KAWAKAMI, Yasuto ; SATO, Shinichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-d0a39a073c0aff134302c7b7bfc60ed85b838c4650820b159cb07129935b41da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Aged</topic><topic>Arteriovenous Fistula - complications</topic><topic>Arteriovenous Fistula - diagnosis</topic><topic>Arteriovenous Fistula - surgery</topic><topic>craniocervical junction</topic><topic>Diagnosis, Differential</topic><topic>Dura Mater - blood supply</topic><topic>dural arteriovenous fistula</topic><topic>Humans</topic><topic>Male</topic><topic>Muscle Hypotonia - etiology</topic><topic>myelopathy</topic><topic>Neuromuscular Diseases - etiology</topic><topic>Paresis - etiology</topic><topic>single fistula</topic><topic>Spinal Cord - blood supply</topic><topic>Treatment Outcome</topic><topic>venous hypertension</topic><topic>Vertebral Artery - abnormalities</topic><topic>Vertebral Artery - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>YOSHIDA, Shinzo</creatorcontrib><creatorcontrib>ODA, Yoshifumi</creatorcontrib><creatorcontrib>KAWAKAMI, Yasuto</creatorcontrib><creatorcontrib>SATO, Shinichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurologia medico-chirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>YOSHIDA, Shinzo</au><au>ODA, Yoshifumi</au><au>KAWAKAMI, Yasuto</au><au>SATO, Shinichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Progressive Myelopathy Caused by Dural Arteriovenous Fistula at the Craniocervical Junction —Case Report</atitle><jtitle>Neurologia medico-chirurgica</jtitle><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><date>1999</date><risdate>1999</risdate><volume>39</volume><issue>5</issue><spage>376</spage><epage>379</epage><pages>376-379</pages><issn>0470-8105</issn><eissn>1349-8029</eissn><abstract>A 68-year-old male presented an unusual dural arteriovenous fistula (AVF) located at the craniocervical junction. Magnetic resonance imaging revealed dilated perimedullary veins around the spinal cord at C-1 and C-2 levels, as well as high intensity signals in the spinal cord on T2-weighted images. Vertebral angiography identified an AVF at the point where the right vertebral artery penetrates the dura. The fistula was a single and direct communication between the vertebral artery and the spinal vein. Surgical interruption of the fistula at its venous side resulted in prompt improvement of both motor and sensory signs and symptoms.</abstract><cop>Japan</cop><pub>The Japan Neurosurgical Society</pub><pmid>10481442</pmid><doi>10.2176/nmc.39.376</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Neurologia medico-chirurgica, 1999, Vol.39(5), pp.376-379 |
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| language | eng |
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| source | J-STAGE Free; MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Arteriovenous Fistula - complications Arteriovenous Fistula - diagnosis Arteriovenous Fistula - surgery craniocervical junction Diagnosis, Differential Dura Mater - blood supply dural arteriovenous fistula Humans Male Muscle Hypotonia - etiology myelopathy Neuromuscular Diseases - etiology Paresis - etiology single fistula Spinal Cord - blood supply Treatment Outcome venous hypertension Vertebral Artery - abnormalities Vertebral Artery - surgery |
| title | Progressive Myelopathy Caused by Dural Arteriovenous Fistula at the Craniocervical Junction —Case Report |
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