| Intercostal arteriovenous fistula associated with neurofibromatosis manifesting as congestive myelopathy: case report. | |
| | |
MedLine Citation:
|
PMID: 17881941 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Vascular abnormalities associated with neurofibromatosis Type 1 (NF-1) are well known, but arteriovenous fistulae (AVF) are rare and usually involve vertebral AVF. A case of intercostal AVF associated with NF-1 and manifesting as congestive myelopathy is described. CLINICAL PRESENTATION: A 62-year-old woman with a medical history of NF-1 experienced gradually worsening gait disturbance. Neurological examination at the time of admission found spastic paraparesis, decrease of sensation in the bilateral lower extremities, and vesicorectal disturbance. Magnetic resonance imaging scans revealed flow void sign and a congestive lesion of the thoracolumbar spinal cord, as well as a huge mass in the paravertebral region at T10-T12. Spinal angiography revealed an intercostal AVF with a large paravertebral varix, which drained to the spinal medullary vein and caused dilation of the intradural venous plexus of the spinal cord resulting in congestive myelopathy. INTERVENTION: Direct surgery was selected for the occlusion of the draining point of the medullary vein, located in the entry of the dura. The patient underwent hemilaminectomy at T10-T12, and the dural entry of the draining vein was occluded. Postoperative angiography revealed no dilated venous plexus of the spinal cord and reduced paravertebral varix. The symptoms were gradually relieved after the surgery. CONCLUSION: The present case of a very rare intercostal AVF with an unusual manifestation of congestive myelopathy occurred in a relatively rare association with NF-1. Accurate evaluation of the vascular anomaly allowed selection of the appropriate surgical method. |
| | |
Authors:
|
Atsushi Saito; Toshiyuki Takahashi; Masayuki Ezura; Teiji Tominaga |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Neurosurgery Volume: 61 ISSN: 1524-4040 ISO Abbreviation: Neurosurgery Publication Date: 2007 Sep |
Date Detail:
|
Created Date: 2007-09-20 Completed Date: 2007-11-07 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: United States |
Other Details:
|
Languages: eng Pagination: E656-7; discussion E657 Citation Subset: IM |
Affiliation:
|
Department of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan. satsushi@yahoo.co.jp |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Arteriovenous Fistula
/
complications,
pathology* Diagnosis, Differential Female Humans Intercostal Muscles / pathology* Middle Aged Neurofibromatoses / complications, pathology* Spinal Cord Diseases / complications, pathology* Thoracic Vertebrae / pathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A form of dysplasia or a fortuitous association? A cerebral aneurysm inside an arachnoid cyst: case ...
Next Document: Pseudotumoral presentation of a cervical extracranial vertebral artery aneurysm in neurofibromatosis...