title: Intracranial dural arteriovenous fistula presenting as an enhancing lesion of the medulla.
abstract: A case of atypical clinical and imaging manifestations of an intracranial dural arteriovenous fistula (DAVF) is reported. A 53-year-old man presented with orthostatic syncope and tingling of the fingertips of both hands, and the initial imaging findings were interpreted as brainstem mass. A catheter angiogram confirmed the presence of an intracranial DAVF with venous drainage around the brainstem and spinal cord. The lesion was treated by endovascular embolization and the patient remains asymptomatic 9 months after treatment.
authors: Department of Radiology, New York Presbyterian Hospital/Weill Cornell Medical College, New York, 10065, USA. atp9002@med.cornell.edu
authors: Athos
authors: A
authors: Patsalides
authors: Efstathia
authors: E
authors: Tzatha
authors: Joerg-Patrick
authors: JP
authors: Stübgen
authors: Dikoma C
authors: DC
authors: Shungu
authors: Philip E
authors: PE
authors: Stieg
authors: Y Pierre
authors: YP
authors: Gobin
mesh_terms: D015901:Angiography, Digital Subtraction; D021721:Balloon Occlusion; D020785:Central Nervous System Vascular Malformations / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000628:therapy; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008526:Medulla Oblongata / Q000000981:diagnostic imaging*; D008875:Middle Aged