Document Detail


Dural arteriovenous fistula of the spinal cord: an uncommon cause of myelopathy.
MedLine Citation:
PMID:  8879054     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dural arteriovenous fistula is an uncommon cause of myelopathy. The nidus of the malformation is on or within the dura and results in a mass of serpentine vessels on the dorsal surface of the spinal cord, usually at low thoracic or lumbar levels. Onset is usually between ages 40 and 70 years. Male to female ratio is 4:1. Symptoms include pain, progressive proximal weakness of lower limbs, saddle area numbness, claudication, and difficulty with urination. Course may be fluctuating or slowly progressive. Signs include upper and lower motor neuron abnormalities and nondermatomal sensory loss. Spinal bruit is rare. Magnetic resonance imaging may show an enlarged cord or abnormalities on its dorsal surface. Myelography (patient prone and supine) is the procedure of choice. Motor neuron disease, disc disease, spinal cord tumor, and multiple sclerosis are differential considerations. Untreated patients have a poor prognosis. Excision of the nidus, ligation of the draining vein, and endovascular embolization may be helpful even in patients with severe deficits.
Authors:
R J Wityk
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Seminars in neurology     Volume:  16     ISSN:  0271-8235     ISO Abbreviation:  Semin Neurol     Publication Date:  1996 Mar 
Date Detail:
Created Date:  1997-01-23     Completed Date:  1997-01-23     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8111343     Medline TA:  Semin Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  27-32     Citation Subset:  IM    
Affiliation:
Department of Medicine, Sinai Hospital of Baltimore, MD 21215, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arteriovenous Fistula / complications*
Female
Humans
Male
Middle Aged
Spinal Cord Diseases / etiology*,  pathology,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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