Intracranial dural arterio-venous fistula presenting with progressive myelopathy.
Spinal dural arterio-venous fistula (DAVF) is rare and usually involves the thoracic segments. The classical presentation is a slowly progressive ataxia. Clinical presentation of intracranial DAVF depends on the site of the DAVF, as well as the vessels involved. Patients may present with pulsatile tinnitus, occipital bruit, headache, dementia, visual impairment as well as neurological deterioration distant from the DAVF as a result of venous hypertension and cortical haemorrhage. The authors present a rare case of progressive myelopathy secondary to an intracranial DAVF.
Neurosurgery Department, Cork University Hospital, Cork, Ireland. eskay0177@yahoo.com
Ebere Sunny
ES
Ogbonnaya
Irfan
I
Yousaf
Taufiq Mohammed
TM
Sattar
D001164:Arteriovenous Fistula / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D002561:Cerebrovascular Disorders / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D004621:Embolization, Therapeutic; D005260:Female; D020234:Gait Ataxia / Q000209:etiology; D006801:Humans; D035002:Lower Extremity / Q000503:physiopathology; D008875:Middle Aged; D018908:Muscle Weakness / Q000209:etiology*; D011859:Radiography