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    
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.
P P Versari; G D'Aliberti; G Talamonti; V Branca; E Boccardi; M Collice
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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    
Department of Neurosurgery, Niguarda Ca'Granda Hospital, Milan, Italy.
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MeSH Terms
Arteriovenous Fistula / radiography,  surgery*
Cerebral Angiography*
Dura Mater / blood supply*
Middle Aged
Neurologic Examination
Postoperative Complications / radiography
Quadriplegia / radiography,  surgery
Spinal Cord / blood supply*

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