title: Cervical dural arteriovenous malformation and large epidural venous varices in a rare adult presentation of congenital vascular bone syndrome.
abstract: 61-year-old male presented with shortness of breath and chest pain. Workup for acute myocardial infarction was negative; however, computed tomography angiography visualized what a vascular malformation within the cervical spinal canal. Given the patient's history of Servelle-Martorell syndrome, neurovascular imaging was performed. We present the unique vascular findings of a right thyrocervical trunk-based dural arteriovenous malformation (dAVM) and a large epidural venous varix. The cervical dAVM induced intervertebral foraminal widening and polyradiculopathy, representing a rare adult case of congenital vascular bone syndrome.
authors: Interventional Neuroradiology, Department of Radiology, Neurological Institute, University Hospital Case Medical Center, Cleveland, Ohio.
authors: Vasant
authors: V
authors: Garg
authors: Department of Neurosurgery, Neurological Institute, University Hospital Case Medical Center, Cleveland, Ohio.
authors: Sunil
authors: S
authors: Manjila
authors: Case Western Reserve University School of Medicine, Cleveland, Ohio.
authors: Mark
authors: M
authors: Corriveau
authors: Department of Neurosurgery, Neurological Institute, University Hospital Case Medical Center, Cleveland, Ohio.
authors: Nicholas C
authors: NC
authors: Bambakidis
authors: Interventional Neuroradiology, Department of Radiology, Neurological Institute, University Hospital Case Medical Center, Cleveland, Ohio. Electronic address: Jeffrey.Sunshine@UHHospitals.org.
authors: Jeffrey L
authors: JL
authors: Sunshine
mesh_terms: D000792:Angiography; D001165:Arteriovenous Malformations / Q000150:complications / Q000000981:diagnostic imaging*; D001847:Bone Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D020785:Central Nervous System Vascular Malformations / Q000150:complications / Q000000981:diagnostic imaging*; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D013577:Syndrome; D014648:Varicose Veins / Q000150:complications / Q000000981:diagnostic imaging*
keywords: Cervical dural AV malformation; Congenital vascular bone syndrome; Klippel–Trenaunay syndrome; Servelle–Martorell syndrome; Venous varices