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Myelopathy from intracranial dural arteriovenous fistula
G P Kalamangalam1, J Bhattacharya, E Teasdale
1Department of Neurology, Institute of Neurological Sciences, Southern General Hospital, Glasgow, UK. g-kalamangalam@hotmail.com
Journal of Neurology, Neurosurgery, and Psychiatry
|May 23, 2002
Abstract:
Dural arteriovenous fistulas arising intracranially are an uncommon cause of progressive myelopathy. This report is of a patient in whom the diagnosis of the condition was confounded by coexisting small vessel cerebrovascular disease.
Insights
Intracranial dural arteriovenous fistulas can cause progressive myelopathy. Diagnosis was complicated by coexisting small vessel cerebrovascular disease in this case.
Area of Science:
- Neurology
- Vascular Neurology
- Neurosurgery
Background:
- Intracranial dural arteriovenous fistulas (dAVFs) are rare vascular malformations.
- They can present with progressive myelopathy, a serious spinal cord condition.
Observation:
- This case report details a patient with dAVF causing myelopathy.
- The diagnosis was challenging due to the presence of comorbid small vessel cerebrovascular disease.
Findings:
- Dural arteriovenous fistulas are an uncommon cause of progressive myelopathy.
- Coexisting small vessel cerebrovascular disease can confound the diagnosis of intracranial dAVFs.
Implications:
- Highlights the importance of considering dAVFs in patients with myelopathy, even with confounding vascular conditions.
- Emphasizes the need for thorough diagnostic evaluation in complex neurological presentations.
- Suggests potential diagnostic challenges in patients with multiple cerebrovascular pathologies.