Unusual case of intracranial dural AV fistula presenting with acute myelopathy. (27th April 2016)

• Record Type: Journal Article
• Authors: Abdelsadg, Mohamed; Kanodia, Avinash Kumar; Keston, Peter; Galea, James
• Is Part Of: BMJ case reports. Volume 2016
• Publication Date: 2016-04-27
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2016-215227
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We present a case of intracranial arteriovenous fistula with perimedullary venous drainage presenting with acute myelopathy, which is an unusual presentation of this uncommon condition. Subsequent catheter angiogram defined the arterial feeders from the meningohypophyseal trunk and petrosal branch of the middle meningeal artery. The patient was successfully embolised, resulting in complete obliteration of the fistula, and significant resolution of brainstem and cervical cord changes along with clinical improvement.