Intracranial Dural Arteriovenous Fistula Presenting With Bulbar and Myelopathic Features: Case Report and Literature Review.
angiogram
cognard
dural arteriovenous fistula
intracranial
myelopathy
surgical disconnection
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
13 Oct 2020
13 Oct 2020
Historique:
entrez:
19
10
2020
pubmed:
20
10
2020
medline:
20
10
2020
Statut:
epublish
Résumé
Intracranial dural arteriovenous fistulas are defined as pathological anastomoses between meningeal arteries and dural venous sinuses or cortical veins. Rarely, they could drain into the venous system in and around the craniocervical junction and cause myelopathy and/or bulbar features. Due to the clinical and radiological features, prompt diagnosis poses a challenge, as there are several neurological differential diagnoses. Several mechanisms for the presentation have been considered, such as venous hypertension, direct compression by enlarged veins, and ischaemia due to infarcts or due to arterial steal. Digital subtraction angiography (DSA) is the gold-standard diagnosis for dural arteriovenous fistulas, where the visualisation of feeding arteries and the characterisation of venous drainage allows diagnosis and grading. Treatment options include conservative management, invasive (microsurgery) or minimally invasive options (transarterial or transvenous embolisation). We present a 32-year-old male who presented with myelopathy and bulbar features. Angiography demonstrated an intracranial dural arteriovenous fistula, which was successfully treated surgically.
Identifiants
pubmed: 33072441
doi: 10.7759/cureus.10934
pmc: PMC7557726
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e10934Informations de copyright
Copyright © 2020, Clayton et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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