title: Sacral dural arteriovenous fistula presented as an acute isolated thoracic myelopathy: clinical and surgical importance.
abstract: We report a case of dural Arteriovenous Fistula (AVF) supplied by the lateral sacral artery that is located in the sacral region and presented as isolated thoracic myelopathy.
  
  
  RESULTS
  After S3 hemilaminectomy and opening the dura, the engorged arterialized vein has been interrupted. Postoperatively, the patient's symptoms and myelopathy gradually resolved.
  
  
  CONCLUSIONS
  We are going to highlight the clinical and surgical importance of our case and discuss the pathophysiology of such an unusual clinical finding.
authors: Department of Neurosurgery, Clemens Hospital, Münster, Germany. Electronic address: shbr61@yahoo.com.
authors: Hamid
authors: H
authors: Borghei-Razavi
authors: Department of Neurosurgery, Clemens Hospital, Münster, Germany.
authors: Werner
authors: W
authors: Weber
authors: Department of Neurosurgery, Clemens Hospital, Münster, Germany.
authors: Khairi-Mohamed
authors: KM
authors: Daabak
authors: Department of Neurosurgery, Clemens Hospital, Münster, Germany.
authors: Uta
authors: U
authors: Schick
mesh_terms: D000368:Aged; D020785:Central Nervous System Vascular Malformations / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D006801:Humans; D012447:Sacrum / Q000098:blood supply*; D013118:Spinal Cord Diseases / Q000473:pathology; D013904:Thoracic Vertebrae / Q000473:pathology
keywords: Dural arteriovenous fistula; Myelopathy; Thoracic spine