A dural craniocervical fistula in a patient with progressive cervical myelopathy.
A 47-year-old male patient with a dural craniocervical fistula is presented. One year after a car accident the man was admitted to the emergency department with severe nausea and progressive paralysis of the lower legs. MRI examination of the brain and cervical spine discovered cervical myelopathy and tortuous blood vessels anterior to the pons and cervical medulla. Angiography was performed to provide the final diagnosis of craniocervical fistula. An embolization of the fistula was performed, and all of the patient's complaints disappeared within three days.
Dekeyzer
S
S
Dpt of Radiology, AZ Sint-Lucas, Ghent, Belgium. Sofiedekeyzer@skynet.be
Lemmerling
M
M
Fransen
H
H
Dewilde
D
D
Jans
L
L
Verstraete
K
K
D000792:Angiography / Q000379:methods; D020785:Central Nervous System Vascular Malformations / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008526:Medulla Oblongata / Q000098:blood supply; D008576:Meningeal Arteries / Q000473:pathology; D008875:Middle Aged; D009325:Nausea / Q000209:etiology; D010243:Paralysis / Q000209:etiology; D011149:Pons / Q000098:blood supply; D013116:Spinal Cord / Q000098:blood supply; D014711:Vertebral Artery / Q000473:pathology