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

a case report

Ohyuk Kwon, DongAh Shin, Joonho Chung

Research output: Contribution to journalArticle

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.

Original languageEnglish
JournalActa Neurochirurgica
DOIs
Publication statusPublished - 2019 Jan 1

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Central Nervous System Vascular Malformations
Intervertebral Disc Degeneration
Spinal Cord Diseases
Veins
Spinal Canal
Intervertebral Disc
Spinal Cord
Hyperemia

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

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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.",
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AB - 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.

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