Document Detail


Progressive myelopathy caused by intracranial dural arteriovenous fistula: report of two cases and review of the literature.
MedLine Citation:
PMID:  8264894     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report two rare cases of progressive myelopathy caused by intracranial dural arteriovenous fistulae with venous drainage into the spinal medullary veins. Both patients were referred to us with a history of progressively worsening quadriparesis. A posterior fossa dural arteriovenous fistula with spinal venous drainage was discovered by angiography in both cases. Treatment consisted of direct clipping of the venous drainage in one patient and of transarterial embolization and excision of the involved dural sinus in the other patient. Such procedures provided a radioanatomical cure and marked neurological recovery in both patients. Only 10 cases of progressive myelopathy caused by an intracranial dural arteriovenous fistula have been previously reported. Dysfunction of the cervical cord by venous engorgement is thought to be the most probable cause of the neurological symptoms in such cases.
Authors:
P P Versari; G D'Aliberti; G Talamonti; V Branca; E Boccardi; M Collice
Related Documents :
12594564 - Malformations of the midline commissures: mri findings in different forms of callosal d...
6624554 - The value of metrizamide ct cisternography in the diagnosis of csf fistulae.
6784464 - Alternate bleeding sites in suspected graft-enteric fistula.
9252854 - Rectal bleeding from a mucous fistula secondary to a dieulafoy's lesion.
8536414 - An assessment of the coulter vcs automated differential counter scatterplots in the rec...
20962254 - Peritonitis after gastrostomy tube replacement: a case series and review of literature.
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Neurosurgery     Volume:  33     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1993 Nov 
Date Detail:
Created Date:  1994-01-27     Completed Date:  1994-01-27     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  914-8; discussion 918-9     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Niguarda Ca'Granda Hospital, Milan, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Arteriovenous Fistula / radiography,  surgery*
Cerebral Angiography*
Dura Mater / blood supply*
Humans
Male
Middle Aged
Myelography
Neurologic Examination
Postoperative Complications / radiography
Quadriplegia / radiography,  surgery
Spinal Cord / blood supply*

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


Previous Document:  Deep cerebral venous system thrombosis: case report.
Next Document:  Cushing's disease in a child caused by a corticotropin-releasing hormone-secreting intrasellar gangl...