Skip to main content
Top
Published in: Acta Neurochirurgica 8/2019

01-08-2019 | Cervical Myelopathy | Case Report - Vascular Neurosurgery - Other

Long-standing tentorial dural arteriovenous fistula presenting as progressively worsening cervical myelopathy by degenerative cervical intervertebral disc: a case report

Authors: Ohyuk Kwon, Dong Ah Shin, Joonho Chung

Published in: Acta Neurochirurgica | Issue 8/2019

Login to get access

Abstract

We report a rare case of long-standing asymptomatic tentorial dural arteriovenous fistula (DAVF) presenting as symptomatic progressive cervical myelopathy which was caused by the protrusion of degenerative cervical intervertebral discs into the spinal canal and compression of the anterior spinal vein. The cervical spinal canal was narrowed, and the spinal cord was compressed anteriorly by protrusion of cervical intervertebral discs at the C6–7 level. The intervertebral discs compressed the draining vein of the tentorial DAVF (the anterior spinal vein) so venous congestion of the spinal cord resulted in cervical myelopathy only above the C6 level.
Literature
1.
go back to reference Bousson V, Brunereau L, Vahedi K, Chapot R (1999) Intracranial dural fistula as a cause of diffuse MR enhancement of the cervical spinal cord. J Neurol Neurosurg Psychiatry 67:227–230CrossRefPubMedPubMedCentral Bousson V, Brunereau L, Vahedi K, Chapot R (1999) Intracranial dural fistula as a cause of diffuse MR enhancement of the cervical spinal cord. J Neurol Neurosurg Psychiatry 67:227–230CrossRefPubMedPubMedCentral
2.
go back to reference Bret P, Salzmann M, Bascoulergue Y, Guyotat J (1994) Dural arteriovenous fistula of the posterior fossa draining into the spinal medullary veins-an unusual cause of myelopathy: case report. Neurosurgery 35:965–968CrossRefPubMed Bret P, Salzmann M, Bascoulergue Y, Guyotat J (1994) Dural arteriovenous fistula of the posterior fossa draining into the spinal medullary veins-an unusual cause of myelopathy: case report. Neurosurgery 35:965–968CrossRefPubMed
3.
go back to reference Brunereau L, Gobin YP, Meder JF, Cognard C, Tubiana JM, Merland JJ (1996) Intracranial dural arteriovenous fistulas with spinal venous drainage: relation between clinical presentation and angiographic findings. AJNR Am J Neuroradiol 17:1549–1954PubMed Brunereau L, Gobin YP, Meder JF, Cognard C, Tubiana JM, Merland JJ (1996) Intracranial dural arteriovenous fistulas with spinal venous drainage: relation between clinical presentation and angiographic findings. AJNR Am J Neuroradiol 17:1549–1954PubMed
4.
go back to reference Ernst RJ, Gaskill-Shipley M, Tomsick TA, Hall LC, Tew JM Jr, Yeh HS (1997) Cervical myelopathy associated with intracranial dural arteriovenous fistula: MR findings before and after treatment. AJNR Am J Neuroradiol 18(7):1330–1334PubMed Ernst RJ, Gaskill-Shipley M, Tomsick TA, Hall LC, Tew JM Jr, Yeh HS (1997) Cervical myelopathy associated with intracranial dural arteriovenous fistula: MR findings before and after treatment. AJNR Am J Neuroradiol 18(7):1330–1334PubMed
5.
go back to reference Gobin YP, Rogopoulos A, Aymard A, Khayata M, Reizine D, Chiras J, Merland JJ (1992) Endovascular treatment of intracranial dural arteriovenous fistulas with spinal perimedullary venous drainage. J Neurosurg 77:718–723CrossRefPubMed Gobin YP, Rogopoulos A, Aymard A, Khayata M, Reizine D, Chiras J, Merland JJ (1992) Endovascular treatment of intracranial dural arteriovenous fistulas with spinal perimedullary venous drainage. J Neurosurg 77:718–723CrossRefPubMed
6.
go back to reference Ha SY, Kwon YS, Kim BM, Kim DI, Kim DJ (2012) Clinical and angiographic characteristics of multiple dural arteriovenous shunts. AJNR Am J Neuroradiol 33(9):1691–1695CrossRefPubMed Ha SY, Kwon YS, Kim BM, Kim DI, Kim DJ (2012) Clinical and angiographic characteristics of multiple dural arteriovenous shunts. AJNR Am J Neuroradiol 33(9):1691–1695CrossRefPubMed
7.
go back to reference Halbach VV, Higashida RT, Hieshima GB, Mehninger CM, Hardin CW (1989) Transvenous embolization of dural fistulas involving the transverse and sigmoid sinuses. AJNR Am J Neuroradiol 10:385–392PubMed Halbach VV, Higashida RT, Hieshima GB, Mehninger CM, Hardin CW (1989) Transvenous embolization of dural fistulas involving the transverse and sigmoid sinuses. AJNR Am J Neuroradiol 10:385–392PubMed
8.
go back to reference Kalamangalam GP, Bhattacharya J, Teasdale E, Thomas M (2002) Myelopathy from intracranial dural arteriovenous fistula. J Neurol Neurosurg Psychiatry 72:816–818CrossRefPubMedPubMedCentral Kalamangalam GP, Bhattacharya J, Teasdale E, Thomas M (2002) Myelopathy from intracranial dural arteriovenous fistula. J Neurol Neurosurg Psychiatry 72:816–818CrossRefPubMedPubMedCentral
9.
go back to reference Luciani A, Houdart E, Mounayer C, Saint Maurice JP, Merland JJ (2001) Spontaneous closure of dural arteriovenous fistulas: report of three cases and review of the literature. AJNR Am J Neuroradiol 22:992–996PubMed Luciani A, Houdart E, Mounayer C, Saint Maurice JP, Merland JJ (2001) Spontaneous closure of dural arteriovenous fistulas: report of three cases and review of the literature. AJNR Am J Neuroradiol 22:992–996PubMed
10.
go back to reference Partington MD, Rufenacht DA, Marsh WR, Piepgras DG (1992) Cranial and sacral dural arteriovenous fistulas as a cause of myelopathy. J Neurosurg 76:615–622CrossRefPubMed Partington MD, Rufenacht DA, Marsh WR, Piepgras DG (1992) Cranial and sacral dural arteriovenous fistulas as a cause of myelopathy. J Neurosurg 76:615–622CrossRefPubMed
11.
go back to reference Renner C, Helm J, Roth H, Meixensberger J (2006) Intracranial dural arteriovenous fistula associated with progressive cervical myelopathy and normal venous drainage of the thoracolumbar cord: case report and review of the literature. Surg Neurol 65(5):506–510CrossRefPubMed Renner C, Helm J, Roth H, Meixensberger J (2006) Intracranial dural arteriovenous fistula associated with progressive cervical myelopathy and normal venous drainage of the thoracolumbar cord: case report and review of the literature. Surg Neurol 65(5):506–510CrossRefPubMed
12.
go back to reference Ricolfi F, Manelfe C, Meder JF, Arrue P, Decq P, Brugieres P, Cognard C, Gaston A (1999) Intracranial dural arteriovenous fistulae with perimedullary venous drainage. Anatomical, clinical and therapeutic considerations. Neuroradiology 41:803–812CrossRefPubMed Ricolfi F, Manelfe C, Meder JF, Arrue P, Decq P, Brugieres P, Cognard C, Gaston A (1999) Intracranial dural arteriovenous fistulae with perimedullary venous drainage. Anatomical, clinical and therapeutic considerations. Neuroradiology 41:803–812CrossRefPubMed
13.
go back to reference Versari PP, D’Aliberti G, Talamonti G, Boccardi E, Collice M (1993) Progressive myelopathy caused by intracranial dural arteriovenous fistula: report of two cases and review of the literature. Neurosurgery 33:914–918PubMed Versari PP, D’Aliberti G, Talamonti G, Boccardi E, Collice M (1993) Progressive myelopathy caused by intracranial dural arteriovenous fistula: report of two cases and review of the literature. Neurosurgery 33:914–918PubMed
14.
go back to reference Wrobel C, Oldfield EH, Di Chiro G, Tarlov EC, Baker RA, Oppman JL (1988) Myelopathy due to intracranial dural arteriovenous fistulas draining intrathecally into spinal medullary veins, report of three cases. J Neurosurg 69:934–939CrossRefPubMed Wrobel C, Oldfield EH, Di Chiro G, Tarlov EC, Baker RA, Oppman JL (1988) Myelopathy due to intracranial dural arteriovenous fistulas draining intrathecally into spinal medullary veins, report of three cases. J Neurosurg 69:934–939CrossRefPubMed
Metadata
Title
Long-standing tentorial dural arteriovenous fistula presenting as progressively worsening cervical myelopathy by degenerative cervical intervertebral disc: a case report
Authors
Ohyuk Kwon
Dong Ah Shin
Joonho Chung
Publication date
01-08-2019
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 8/2019
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-019-03960-y

Other articles of this Issue 8/2019

Acta Neurochirurgica 8/2019 Go to the issue

Original Article - CSF Circulation

Home telemonitoring of intracranial pressure

Letter to the Editor (by Invitation) - Pituitaries

Reply to letter “Pituitary tumors and oculomotor cistern”