Myelopathy due to intracranial dural arteriovenous fistula

A potential diagnostic pitfall - Case report

Nam Hee Kim, Keun Tae Cho, Hyung Suk Seo

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Intracranial dural arteriovenous fistula (DAVF) is rare and potentially life-threatening disease often presenting as vascular myelopathy. The early and proper diagnosis is challenging because the clinical manifestations are related to the distribution of the draining vein, not the fistula site, and imaging findings are similar to demyelinating disease of the spinal cord. The authors present the case of a 45-year-old man who developed acute progressive quadriplegia and respiratory difficulty with an enhancing, longitudinally extensive cervical cord lesion. These symptoms were highly suspicious for transverse myelitis but were caused by an intracranial DAVF. Intracranial DAVF with venous reflux to the brainstem and spinal cord is a rare but important differential diagnosis of progressive worsening myelopathy that is treatment resistant and gives the diagnostic impression of transverse myelitis.

Original languageEnglish
Pages (from-to)830-833
Number of pages4
JournalJournal of Neurosurgery
Volume114
Issue number3
DOIs
Publication statusPublished - 2011 Mar 1

Fingerprint

Central Nervous System Vascular Malformations
Spinal Cord Diseases
Transverse Myelitis
Spinal Cord
Quadriplegia
Demyelinating Diseases
Brain Stem
Fistula
Blood Vessels
Early Diagnosis
Veins
Differential Diagnosis
Therapeutics

Keywords

  • Demyelinating disease
  • Dural arteriovenous fistula
  • Transverse myelitis
  • Vascular myelopathy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Myelopathy due to intracranial dural arteriovenous fistula : A potential diagnostic pitfall - Case report. / Kim, Nam Hee; Cho, Keun Tae; Seo, Hyung Suk.

In: Journal of Neurosurgery, Vol. 114, No. 3, 01.03.2011, p. 830-833.

Research output: Contribution to journalArticle

@article{a146090ecc0c4b8fadccbf80c64c415d,
title = "Myelopathy due to intracranial dural arteriovenous fistula: A potential diagnostic pitfall - Case report",
abstract = "Intracranial dural arteriovenous fistula (DAVF) is rare and potentially life-threatening disease often presenting as vascular myelopathy. The early and proper diagnosis is challenging because the clinical manifestations are related to the distribution of the draining vein, not the fistula site, and imaging findings are similar to demyelinating disease of the spinal cord. The authors present the case of a 45-year-old man who developed acute progressive quadriplegia and respiratory difficulty with an enhancing, longitudinally extensive cervical cord lesion. These symptoms were highly suspicious for transverse myelitis but were caused by an intracranial DAVF. Intracranial DAVF with venous reflux to the brainstem and spinal cord is a rare but important differential diagnosis of progressive worsening myelopathy that is treatment resistant and gives the diagnostic impression of transverse myelitis.",
keywords = "Demyelinating disease, Dural arteriovenous fistula, Transverse myelitis, Vascular myelopathy",
author = "Kim, {Nam Hee} and Cho, {Keun Tae} and Seo, {Hyung Suk}",
year = "2011",
month = "3",
day = "1",
doi = "10.3171/2010.5.JNS10128",
language = "English",
volume = "114",
pages = "830--833",
journal = "Journal of Neurosurgery",
issn = "0022-3085",
publisher = "American Association of Neurological Surgeons",
number = "3",

}

TY - JOUR

T1 - Myelopathy due to intracranial dural arteriovenous fistula

T2 - A potential diagnostic pitfall - Case report

AU - Kim, Nam Hee

AU - Cho, Keun Tae

AU - Seo, Hyung Suk

PY - 2011/3/1

Y1 - 2011/3/1

N2 - Intracranial dural arteriovenous fistula (DAVF) is rare and potentially life-threatening disease often presenting as vascular myelopathy. The early and proper diagnosis is challenging because the clinical manifestations are related to the distribution of the draining vein, not the fistula site, and imaging findings are similar to demyelinating disease of the spinal cord. The authors present the case of a 45-year-old man who developed acute progressive quadriplegia and respiratory difficulty with an enhancing, longitudinally extensive cervical cord lesion. These symptoms were highly suspicious for transverse myelitis but were caused by an intracranial DAVF. Intracranial DAVF with venous reflux to the brainstem and spinal cord is a rare but important differential diagnosis of progressive worsening myelopathy that is treatment resistant and gives the diagnostic impression of transverse myelitis.

AB - Intracranial dural arteriovenous fistula (DAVF) is rare and potentially life-threatening disease often presenting as vascular myelopathy. The early and proper diagnosis is challenging because the clinical manifestations are related to the distribution of the draining vein, not the fistula site, and imaging findings are similar to demyelinating disease of the spinal cord. The authors present the case of a 45-year-old man who developed acute progressive quadriplegia and respiratory difficulty with an enhancing, longitudinally extensive cervical cord lesion. These symptoms were highly suspicious for transverse myelitis but were caused by an intracranial DAVF. Intracranial DAVF with venous reflux to the brainstem and spinal cord is a rare but important differential diagnosis of progressive worsening myelopathy that is treatment resistant and gives the diagnostic impression of transverse myelitis.

KW - Demyelinating disease

KW - Dural arteriovenous fistula

KW - Transverse myelitis

KW - Vascular myelopathy

UR - http://www.scopus.com/inward/record.url?scp=79952265299&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79952265299&partnerID=8YFLogxK

U2 - 10.3171/2010.5.JNS10128

DO - 10.3171/2010.5.JNS10128

M3 - Article

VL - 114

SP - 830

EP - 833

JO - Journal of Neurosurgery

JF - Journal of Neurosurgery

SN - 0022-3085

IS - 3

ER -