Presentation
Painful gradual onset Brown-Sequard syndrome.
Patient Data
Age: 60 years
Gender: Female
From the case:
Spinal dural arteriovenous fistula
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The lower half of the thoracic cord demonstrates extensive central cord high T2 signal. On the dorsal surface of the cord numerous flow voids are noted.
From the case:
Spinal dural arteriovenous fistula
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Selective injection of the left T6 intercostal demonstrates an arteriovenous fistula with in the T6/7 foramen with draining inferiorly along enlarged pial veins.
Case Discussion
Typical appearances of a spinal dAVF. The clinical presentation is typically insidious and non-specific and the diagnosis is often not made for quite some time. Cord edema and sometimes enhancement should not be mistaken for a spinal cord tumor.
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