A cervical dural arteriovenous fistula in a patient presenting with radiculopathy. Case report

A 51-year-old man presenting with radiculopathy a rare cervical dural arteriovenous fistula (AVF) is reported. Angiography revealed that the cervical dural AVF was fed mainly by the left C-3 and C-4 radicular arteries and drained into the internal vertebral venous plexus with no communication with i...

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Bibliographic Details
Published inJournal of neurosurgery Vol. 84; no. 1; p. 119
Main Authors Kohno, M, Takahashi, H, Ide, K, Ishijima, B, Yamada, K, Nemoto, S
Format Journal Article
LanguageEnglish
Published United States 01.01.1996
Subjects
Arteriovenous Fistula - complications
Arteriovenous Fistula - diagnostic imaging
Arteriovenous Fistula - surgery
Cerebral Angiography
Dura Mater - blood supply
Embolization, Therapeutic
Humans
Male
Middle Aged
Neck
Nerve Compression Syndromes - etiology
Peripheral Nervous System Diseases - etiology
Spinal Nerve Roots
Tomography, X-Ray Computed
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Summary:A 51-year-old man presenting with radiculopathy a rare cervical dural arteriovenous fistula (AVF) is reported. Angiography revealed that the cervical dural AVF was fed mainly by the left C-3 and C-4 radicular arteries and drained into the internal vertebral venous plexus with no communication with intradural structures. The dural AVF was treated surgically after embolization therapy. Although the AVF showed mass effect on computerized tomography (CT) scanning, abnormal vessels, which were suspected to drain the AVF, were observed intraoperatively to compress the left C-4 and C-5 nerve root sleeves. After resection of these abnormal epidural vessels, monoparesis of the left proximal upper extremity was markedly improved. In this patient, dynamic CT scanning was useful in the initial diagnosis, and the preoperative embolization therapy was very effective.
ISSN:0022-3085
1933-0693
DOI:10.3171/jns.1996.84.1.0119