Document Detail


Dural arteriovenous fistulas presenting with brainstem dysfunction: diagnosis and surgical treatment.
MedLine Citation:
PMID:  22537119     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A cerebral dural arteriovenous fistula (DAVF) is an acquired abnormal arterial-to-venous connection within the leaves of the intracranial dura with a wide range of clinical presentations and natural history. The Cognard classification correlates venous drainage patterns with neurological course, identifying 5 DAVF types with increasing rates of symptomatic presentation. A spinal DAVF occurs when a radicular artery makes a direct anomalous shunt with a radicular vein within the dural leaflets of the nerve root sleeve. A cervical DAVF is a rare entity, as most spinal DAVFs present as thoracolumbar lesions with myelopathy. In this paper the authors present 2 patients presenting initially with brainstem dysfunction rather than myelopathy secondary to craniocervical DAVF. The literature is then reviewed for similar rare aggressive DAVFs at the craniocervical junction presenting with brainstem symptomatology.
Authors:
Charles Kulwin; Bradley N Bohnstedt; John A Scott; Aaron Cohen-Gadol
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgical focus     Volume:  32     ISSN:  1092-0684     ISO Abbreviation:  Neurosurg Focus     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896471     Medline TA:  Neurosurg Focus     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E10     Citation Subset:  IM    
Affiliation:
Goodman Campbell Brain and Spine, Indiana University Department of Neurological Surgery, Indianapolis, Indiana.
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