A Case of Myelopathy due to Spinal Dural Arteriovenous Fistula Supplied by Branches of the Internal Iliac Arteries
Journal of the Korean Neurological Association
;
: 447-451, 1999.
Article
in Korean
| WPRIM
| ID: wpr-8462
ABSTRACT
Spinal dural arteriovenous fistulas are rare abnormal connections of artery and vein within the dura, at the level of the intervertebral foramen. A 57-year-old male developed weakness in both lower extremities and sphincteric dysfunction, which had stepwisely, progressive and fluctuating course since 6 months ago. He showed areflexia in both ankle & right knee. T-spine MRI showed high signal intensity with ill defined margin in T2WI and intensely enhanced by con-trast agent through lower thoracic and lumbosacral spinal cord. Selective spinal angiography revealed a dural arteriove-nous fistula with a nidus at thoracolumbar vertebral level, supplied by the internal iliac artery and enlarged medullary veins. Superselective angiographic embolization was done. Clinically, his symptoms has been ameliorated. We report a rare case of thoracic myelopathy due to spinal dural arteriovenous fistulas exclusively supplied by the branches of internal iliac artery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arteries
/
Spinal Cord
/
Spinal Cord Diseases
/
Veins
/
Magnetic Resonance Imaging
/
Angiography
/
Central Nervous System Vascular Malformations
/
Lower Extremity
/
Fistula
/
Iliac Artery
Limits:
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Neurological Association
Year:
1999
Type:
Article
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