Myelopathy due to large veins draining recurrent spontaneous caroticocavernous fistula.
A 45-year-old woman developed a myelopathy 9 years after a spontaneous left caroticocavernous fistula (CCF) was treated by a trapping procedure, with clipping distal to the fistula and ligation of the common carotid artery. Spinal MRI and vertebral angiography revealed recurrence of the CCF and gigantic tortuous veins draining through the brain stem down to the midcervical spinal cord. The abnormal veins and myelopathy disappeared after surgical closure of the CCF.
Narita
Y
Y
Department of Neurology, Matsusaka Chuo Hospital, Mie, Japan.
Watanabe
Y
Y
Hoshino
T
T
Okada
M
M
Yamamoto
Y
Y
Kuzuhara
S
S
D001164:Arteriovenous Fistula / Q000150:complications* / Q000601:surgery; D001933:Brain Stem / Q000098:blood supply; D002343:Carotid Artery, Internal / Q000473:pathology / Q000601:surgery; D002426:Cavernous Sinus / Q000473:pathology / Q000601:surgery; D004108:Dilatation, Pathologic / Q000473:pathology; D005260:Female; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D008438:Maxillary Artery / Q000473:pathology; D008875:Middle Aged; D009880:Ophthalmic Artery / Q000473:pathology; D012008:Recurrence; D012039:Regional Blood Flow; D013116:Spinal Cord / Q000098:blood supply*; D013117:Spinal Cord Compression / Q000209:etiology; D014680:Veins; D014711:Vertebral Artery / Q000473:pathology