Spinal dural arteriovenous fistula

Case contributed by A.Prof Frank Gaillard

Presentation

Painful gradual onset Brown-Sequard syndrome.

Patient Data

Age: 60 years
Gender: Female
Modality: MRI

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. 

Modality: DSA (angiography)

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 oedema and sometimes enhancement should not be mistaken for a spinal cord tumour. 

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Case Information

rID: 19635
Case created: 29th Sep 2012
Last edited: 2nd Jan 2016
Tag: spine
Inclusion in quiz mode: Included

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