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Progressive Medullary Congestion Resulting in Life-Threatening Condition Caused by Lower Cervical Dural Arteriovenous Fistula Successfully Treated with Endovascular Treatment: A Case Report and Literature Review

Year: 2019

Type: article

Abstract: The authors describe a patient with lower cervical dural arteriovenous fistula (DAVF), subsequently developing brainstem dysfunction following progressive myelopathy caused by extension of venous congestion from the cervicothoracic cord to the medulla oblongata. A 34-year-old woman suffered from progressive paraparesis with bowel/bladder dysfunction for 2 months. Before transferring to our institute, she obtained magnetic resonance imaging (MRI) of the neck, showing abnormal hyperintensity on T2-weighted sequence extending from the level of C1 to T5 with abnormal intradural flow voids along anterior more than posterior pial surfaces of the cervical spinal cord.

Source: Clinical Medical Reviews and Case Reports

DOI: 10.23937/2378-3656/1410275

Authors: Iampreechakul Prasert, Lertbutsayanukul Punjama, Wattanasen Yodkhwan, Siriwimonmas Somkiet

Institutions: Neurological Institute of Thailand, Bumrungrad International Hospital

Language: English

Topic: Vascular Malformations Diagnosis and Treatment

Subfield: Clinical Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W2970366286

FWCI: 0.166

Cites: 28

Cited by: 1

Related to: 10