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[A tentorial dural arteriovenous fistula presenting progressive myelopathy: a case report].
Brain Nerve. 2011 Jun; 63(6):611-5.BN

Abstract

Abstract We report a case of a dural arteriovenous fistula (DAVF) at the tentorium cerebelli, which presented progressive myelopathy. A 68-year-old man with neurological deterioration of the cervical myelopathy visited our hospital. T2 weighted magnetic resonance (MR) imaging showed high signal area and edema from the medulla to the upper thoracic spinal cord with flow voids on the dorsal surface of the cord. Angiography showed right tentorial DAVF, which was supplied by the right meningohypophyseal trunk, the middle meningeal artery, the accessory meningeal artery, and was drained into the posterior spinal veins. The patient underwent right retrosigmoid suboccipital craniotomy, then disruption of the fistula was performed by using micro Doppler sonography following endovascular obliteration of the main feeders. Postoperative angiography showed complete obliteration of the fistula. His daily functioning gradually improved up to 6 months after the surgery. Tentorial DAVFs with clinical manifestation of myelopathy are rare. Considering its aggressive nature, early surgical treatment could be necessary. (Received: November 17, 2010, Accepted: December 18, 2010).

Authors+Show Affiliations

Department of Neurosurgery, Nagasaki University School of Medicine, Nagasaki, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article
Review

Language

jpn

PubMed ID

21613664

Citation

Takeshita, Tomonori, et al. "[A Tentorial Dural Arteriovenous Fistula Presenting Progressive Myelopathy: a Case Report]." Brain and Nerve = Shinkei Kenkyu No Shinpo, vol. 63, no. 6, 2011, pp. 611-5.
Takeshita T, Toyoda K, So G, et al. [A tentorial dural arteriovenous fistula presenting progressive myelopathy: a case report]. Brain Nerve. 2011;63(6):611-5.
Takeshita, T., Toyoda, K., So, G., Morofuji, Y., Horie, N., Hayashi, K., Kitagawa, N., Suyama, K., & Nagata, I. (2011). [A tentorial dural arteriovenous fistula presenting progressive myelopathy: a case report]. Brain and Nerve = Shinkei Kenkyu No Shinpo, 63(6), 611-5.
Takeshita T, et al. [A Tentorial Dural Arteriovenous Fistula Presenting Progressive Myelopathy: a Case Report]. Brain Nerve. 2011;63(6):611-5. PubMed PMID: 21613664.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A tentorial dural arteriovenous fistula presenting progressive myelopathy: a case report]. AU - Takeshita,Tomonori, AU - Toyoda,Keisuke, AU - So,Gohei, AU - Morofuji,Yoichi, AU - Horie,Nobutaka, AU - Hayashi,Kentaro, AU - Kitagawa,Naoki, AU - Suyama,Kazuhiko, AU - Nagata,Izumi, PY - 2011/5/27/entrez PY - 2011/5/27/pubmed PY - 2011/7/9/medline SP - 611 EP - 5 JF - Brain and nerve = Shinkei kenkyu no shinpo JO - Brain Nerve VL - 63 IS - 6 N2 - Abstract We report a case of a dural arteriovenous fistula (DAVF) at the tentorium cerebelli, which presented progressive myelopathy. A 68-year-old man with neurological deterioration of the cervical myelopathy visited our hospital. T2 weighted magnetic resonance (MR) imaging showed high signal area and edema from the medulla to the upper thoracic spinal cord with flow voids on the dorsal surface of the cord. Angiography showed right tentorial DAVF, which was supplied by the right meningohypophyseal trunk, the middle meningeal artery, the accessory meningeal artery, and was drained into the posterior spinal veins. The patient underwent right retrosigmoid suboccipital craniotomy, then disruption of the fistula was performed by using micro Doppler sonography following endovascular obliteration of the main feeders. Postoperative angiography showed complete obliteration of the fistula. His daily functioning gradually improved up to 6 months after the surgery. Tentorial DAVFs with clinical manifestation of myelopathy are rare. Considering its aggressive nature, early surgical treatment could be necessary. (Received: November 17, 2010, Accepted: December 18, 2010). SN - 1881-6096 UR - https://www.unboundmedicine.com/medline/citation/21613664/[A_tentorial_dural_arteriovenous_fistula_presenting_progressive_myelopathy:_a_case_report]_ L2 - https://webview.isho.jp/openurl?rft.genre=article&rft.issn=1881-6096&rft.volume=63&rft.issue=6&rft.spage=611 DB - PRIME DP - Unbound Medicine ER -