Microsurgical interruption of dural arteriovenous fistula at the foramen magnum
| Autor: | Takeo Goto, Naohiro Tsuyuguchi, Akimasa Nishio, Toshihiro Takami, Kenji Ohata, Mitsuhiro Hara, Misao Nishikawa |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
Microsurgery medicine.medical_specialty Medullary cavity Fistula Arteriovenous fistula Neurosurgical Procedures Veins Diagnosis Differential Myelopathy Physiology (medical) medicine Edema Humans Foramen Magnum Vein Vertebral Artery Aged Central Nervous System Vascular Malformations Foramen magnum medicine.diagnostic_test Spinal Cord Ischemia business.industry Magnetic resonance imaging General Medicine Middle Aged medicine.disease Magnetic Resonance Imaging Cerebral Angiography Surgery Atlanto-Occipital Joint Early Diagnosis Treatment Outcome medicine.anatomical_structure Spinal Cord Neurology Dura Mater Neurology (clinical) Radiology business Cerebral angiography |
| Zdroj: | Journal of Clinical Neuroscience. 12:580-583 |
| ISSN: | 0967-5868 |
| DOI: | 10.1016/j.jocn.2005.02.003 |
| Popis: | We report two rare cases of progressive congestive myelopathy caused by dural arteriovenous fistulae (DAVF) at the foramen magnum. The first, a 69-year-old male with a 2-year history of progressive myelopathy, had symptoms unrecognized due to a past history that included spinal caries and congenital dislocation of the hip. The second, a 60-year-old male, had a recurrence of the myelopathy three months after endovascular occlusion of the DAVF feeding artery. Both patients were successfully treated by direct microsurgical interruption of the arterialized medullary vein with functional and radiological improvement. The clinical manifestations of DAVF at the foramen magnum are nonspecific, mimicking those of cervical spondylotic myelopathy or cervical neoplasm. Accurate and early diagnosis followed by complete obliteration of the fistula is mandatory to avoid permanent neurological deficit. |
| Databáze: | OpenAIRE |
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