Dural arteriovenous fistula coexisting with a lumbar lipomeningocele. Case report.
The authors describe the case of a 44-year-old woman who presented with recent onset of progressive paraparesis and bladder involvement; she had an asymptomatic lumbosacral lipomatous swelling that was present since birth. Magnetic resonance imaging confirmed the diagnosis of a lipomeningocele. It also revealed intramedullary hyperintensity on T2-weighted images and serpiginous flow voids suggestive of a dural arteriovenous fistula (DAVF) at the same level; the lesion was confirmed by spinal angiography. Both lesions were surgically managed, and the patient subsequently experienced neurological improvement. The coexistence of a DAVF and a lipomeningocele at the same level is unusual and can lead to treatment failure if missed.
Rajeev
Kariyattil
K
Department of Neurosurgery, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India.
Panikar
Dilip
D
D000328:Adult; D020785:Central Nervous System Vascular Malformations / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D015897:Comorbidity; D005260:Female; D006801:Humans; D008067:Lipoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000473:pathology; D008588:Meningocele / Q000150:complications / Q000473:pathology / Q000601:surgery*; D020335:Paraparesis / Q000209:etiology