Document Detail

Tentorial dural arteriovenous fistula presenting with quadriparesis: case report and review of the literature.
MedLine Citation:
PMID:  19900644     Owner:  NLM     Status:  MEDLINE    
Tentorial dural arteriovenous fistulas (TDAVFs) draining into the spinal venous system are rare lesions. The clinical presentation can be devastating and the diagnosis delayed because of the initial nonspecific imaging and laboratory findings. We report a case of a 20-year-old woman with a rapidly progressive myelopathy, who was found to have a left TDAVF, fed by a single arterial feeder with drainage into the perimedullary venous system. The fistula was surgically clipped. The patient showed neurologic improvement at her 3-month follow-up but still had significant weakness of all 4 extremities. Early diagnosis is key as the neurologic symptoms are reversible with appropriate treatment. We review the relevant literature, imaging characteristics, and treatment modalities for TDAVF.
Sara Khan; David W Polston; Robert W Shields; Peter Rasmussen; Rishi Gupta
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association     Volume:  18     ISSN:  1532-8511     ISO Abbreviation:  J Stroke Cerebrovasc Dis     Publication Date:    2009 Nov-Dec
Date Detail:
Created Date:  2009-11-10     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9111633     Medline TA:  J Stroke Cerebrovasc Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  428-34     Citation Subset:  IM    
Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
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MeSH Terms
Brain Edema / etiology
Central Nervous System Vascular Malformations / complications*,  diagnosis,  physiopathology,  surgery
Cerebral Angiography
Early Diagnosis
Magnetic Resonance Imaging
Neurologic Examination
Quadriplegia / diagnosis,  etiology*,  physiopathology,  surgery
Recovery of Function
Treatment Outcome
Vascular Surgical Procedures
Young Adult

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