Unusual case of intracranial dural AV fistula presenting with acute myelopathy.
We present a case of intracranial arteriovenous fistula with perimedullary venous drainage presenting with acute myelopathy, which is an unusual presentation of this uncommon condition. Subsequent catheter angiogram defined the arterial feeders from the meningohypophyseal trunk and petrosal branch of the middle meningeal artery. The patient was successfully embolised, resulting in complete obliteration of the fistula, and significant resolution of brainstem and cervical cord changes along with clinical improvement.
Department of Neurosurgery, Ninewells Hospital, Dundee, UK.
Mohamed
M
Abdelsadg
Department of Radiology, Ninewells Hospital, Dundee, UK.
Avinash Kumar
AK
Kanodia
Department of Neuroradiology, Western General Hospital, Edinburgh, UK.
Peter
P
Keston
Department of Neurosurgery, Ninewells Hospital, Dundee, UK.
James
J
Galea
D000368:Aged; D001164:Arteriovenous Fistula / Q000150:complications / Q000175:diagnosis*; D001933:Brain Stem / Q000473:pathology*; D002533:Cerebral Angiography; D002574:Cervical Vertebrae; D004388:Dura Mater / Q000098:blood supply / Q000473:pathology*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis*; D008576:Meningeal Arteries / Q000473:pathology*; D013116:Spinal Cord / Q000473:pathology*; D013118:Spinal Cord Diseases / Q000175:diagnosis* / Q000209:etiology