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Rare Case of Spinal Dural Arteriovenous Fistula with Radiculopathy, without Myelopathy or Spinal Edema on Magnetic Resonance Imaging
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Title: | Rare Case of Spinal Dural Arteriovenous Fistula with Radiculopathy, without Myelopathy or Spinal Edema on Magnetic Resonance Imaging |
Authors: | Oki, Sogo Browse this author | Osanai, Toshiya Browse this author →KAKEN DB | Tokairin, Kikutaro Browse this author | Takamiya, Soichiro Browse this author | Yamazaki, Kazuyoshi Browse this author | Imai, Tetsuaki Browse this author | Seki, Toshitaka Browse this author |
Keywords: | Central nervous system vascular malformation | Diagnosis | Etiology | Spinal cord disease |
Issue Date: | Jun-2020 |
Publisher: | Elsevier |
Journal Title: | World neurosurgery |
Volume: | 138 |
Start Page: | 404 |
End Page: | 407 |
Publisher DOI: | 10.1016/j.wneu.2020.03.138 |
Abstract: | Background Spinal dural arteriovenous fistulas (SDAVFs) are the most common type of spinal arteriovenous malformations; they frequently cause progressive myelopathy including gait disturbances and sensory disorders. Case Description We report a rare case of a middle-aged man who experienced right-sided chest pain and Th4 radiculopathy, without any other neurologic presentations. Magnetic resonance imaging showed a flow void sign on the dorsal aspect of the spinal cord; spinal angiography revealed an arteriovenous shunt between a radicular artery and an intradural vein. Suspecting SDAVF as the cause of the chest pain, we performed surgical resection. Intraoperatively, we observed compression of the rootlet by the draining vein. Right chest pain disappeared completely after obliteration of the SDAVF. The present patient had vascular compression of the spinal nerve rootlet without any venous congestion. Conclusions Our experience shows that SDAVF can present not only as a myelopathy but also as a radiculopathy, indicating that radiculopathy may become a main symptom of SDAVF. |
Rights: | © 2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
Type: | article (author version) |
URI: | http://hdl.handle.net/2115/81702 |
Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 長内 俊也
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