HUSCAP logo Hokkaido Univ. logo

Hokkaido University Collection of Scholarly and Academic Papers >
Hokkaido University Hospital >
Peer-reviewed Journal Articles, etc >

Cervical Epidural Arteriovenous Fistula With Radiculopathy Mimicking Cervical Spondylosis : Case Report

This item is licensed under: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International

Files in This Item:
E6_49_108.pdf338.12 kBPDFView/Open
Please use this identifier to cite or link to this item:

Title: Cervical Epidural Arteriovenous Fistula With Radiculopathy Mimicking Cervical Spondylosis : Case Report
Authors: Kawabori, Masahito Browse this author →KAKEN DB
Hida, Kazutoshi Browse this author →KAKEN DB
Yano, Shunsuke Browse this author
Asano, Takeshi Browse this author
Iwasaki, Yoshinobu Browse this author
Keywords: cervical arteriovenous fistula
epidural arteriovenous fistula
endovascular embolization
Issue Date: Mar-2009
Publisher: The Japan Neurosurgical Society
Journal Title: Neurologia medico-chirurgica
Volume: 49
Issue: 3
Start Page: 108
End Page: 113
Publisher DOI: 10.2176/nmc.49.108
Abstract: A 65-year-old woman presented with a rare case of cervical epidural arteriovenous fistula (AVF) manifesting as radiculopathy of the right upper extremity that mimicked cervical spondylosis. She had a 2-month history of gradually progressive right-hand motor weakness and sensory disturbance. The initial diagnosis was cervical disk herniation. However, computed tomography with contrast medium showed abnormal enhancement at the right C5-6 and C6-7 intervertebral foramina. Magnetic resonance (MR) imaging with gadolinium disclosed an enhanced abnormal epidural mass at the dorsal surface of the dural tube between the C5 and C6 vertebrae. T2-weighted MR imaging showed a slight flow void on the dorsal and ventral surfaces of the spinal cord between C3 and T4. Digital subtraction angiography disclosed cervical epidural and dural AVFs fed by the C5 and C6 radicular arteries. The diagnosis was concomitant epidural and dural AVFs. The dilated internal vertebral venous plexus attributable to epidural AVF was considered to be responsible for the radiculopathy. Transarterial embolization using n-butylcyanoacrylate achieved complete occlusion of the lesions. Her symptoms improved immediately and MR imaging and angiography performed 10 days postembolization showed reduction of both the epidural and dural AVFs.
Type: article
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 川堀 真人

Export metadata:

OAI-PMH ( junii2 , jpcoar )

MathJax is now OFF:


Feedback - Hokkaido University