title: Congestive myeloradiculopathy in a patient with Cowden syndrome.
abstract: We present a patient with newly diagnosed Cowden syndrome and congestive myeloradiculopathy secondary to spinal dural arteriovenous fistula (SDAVF). This patient illustrates the difficulties that can be encountered in diagnosing SDAVF and emphasises the need to pursue the diagnosis in the appropriate clinical setting, as treatment can lead to significant neurological improvement. To our knowledge this is also the first reported case of an association between Cowden syndrome and SDAVF.
authors.affiliation: Department of Neurology, Auckland City Hospital, Grafton Road, Auckland, New Zealand. Electronic address: teddyyhwu@gmail.com.
authors.forename: Teddy Y
authors.initials: TY
authors.lastname: Wu
authors.affiliation: Department of Neurology, Auckland City Hospital, Grafton Road, Auckland, New Zealand.
authors.forename: Ernest
authors.initials: E
authors.lastname: Willoughby
authors.affiliation: Department of Neurology, Auckland City Hospital, Grafton Road, Auckland, New Zealand.
authors.forename: David O
authors.initials: DO
authors.lastname: Hutchinson
authors.affiliation: Department of Radiology, Auckland City Hospital, Auckland, New Zealand.
authors.forename: Stefan
authors.initials: S
authors.lastname: Brew
authors.affiliation: Department of Radiology, Auckland City Hospital, Auckland, New Zealand.
authors.forename: Ben
authors.initials: B
authors.lastname: McGuinness
authors.affiliation: Diagnostic Genetics, LabPLUS, Auckland City Hospital, Auckland, New Zealand.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Lopes
authors.affiliation: Diagnostic Genetics, LabPLUS, Auckland City Hospital, Auckland, New Zealand.
authors.forename: Donald R
authors.initials: DR
authors.lastname: Love
authors.affiliation: Department of Neurology, Auckland City Hospital, Grafton Road, Auckland, New Zealand; Centre for Brain Research, University of Auckland, Auckland, New Zealand.
authors.forename: Richard H
authors.initials: RH
authors.lastname: Roxburgh
mesh_terms: D000368:Aged; D020785:Central Nervous System Vascular Malformations / Q000150:complications; D004487:Edema / Q000209:etiology / Q000628:therapy; D004621:Embolization, Therapeutic; D006223:Hamartoma Syndrome, Multiple / Q000150:complications* / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011843:Radiculopathy / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome
keywords: Cowden syndrome; Dural arteriovenous fistula; Myelopathy