Dural arteriovenous fistula as a late complication of upper cervical spine fracture. Case report.
The authors report an unusual case of a dural arteriovenous fistula (DAVF) in the cervical spine after a C1-2 fracture. The patient presented with a delayed epidural hematoma and quadriparesis. The DAVF was successfully treated by coil embolization and the patient made a full recovery. The possibility of a DAVF as a late complication of an upper cervical spine fracture should be considered when a patient presents with a spinal epidural hematoma.
Vankan
Yoeri
Y
Department of Radiology, University Hospitals Gasthuisberg, Leuven, Belgium.
Demaerel
Philippe
P
Heye
Sam
S
Van Calenbergh
Frank
F
van Loon
Johannes
J
Maleux
Geert
G
Wilms
Guy
G
D000328:Adult; D020785:Central Nervous System Vascular Malformations / Q000209:etiology* / Q000628:therapy*; D002574:Cervical Vertebrae / Q000293:injuries*; D004621:Embolization, Therapeutic / Q000379:methods*; D006407:Hematoma, Epidural, Cranial / Q000209:etiology; D006801:Humans; D008297:Male; D011782:Quadriplegia / Q000209:etiology; D016103:Spinal Fractures / Q000150:complications*