2021
DOI: 10.1007/s00415-021-10571-0
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A case series of intracranial dural arteriovenous fistulae mimicking cervical myelitis: a diagnosis not to be missed

Abstract: Objective To describe the diagnostic features of intracranial dural arteriovenous fistulae (DAVF) presenting with cervical cord or brainstem swelling. Methods Retrospective case note and neuroimaging review of patients with angiographically confirmed DAVF diagnosed during January 2015–June 2020 at a tertiary neuroscience centre (Walton Centre NHS Foundation Trust, Liverpool, UK). Results Six intracranial DAVF causin… Show more

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Cited by 14 publications
(4 citation statements)
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“…Or symptom progression could be due to steroidinduced thrombosis and inhibition of thrombolysis. [11,18] Utilizing 3T MRI with 3D T2-weighted SPACE allowed for the detection of perimedullary flow voids in our Most high cervical AVFs can be effectively treated with open surgery. Endovascular treatment remains challenging due to a high rate of incomplete obliteration and complications, and it can only be performed in superselective AVFs with simple angioarchitecture.…”
Section: Discussionmentioning
confidence: 99%
“…Or symptom progression could be due to steroidinduced thrombosis and inhibition of thrombolysis. [11,18] Utilizing 3T MRI with 3D T2-weighted SPACE allowed for the detection of perimedullary flow voids in our Most high cervical AVFs can be effectively treated with open surgery. Endovascular treatment remains challenging due to a high rate of incomplete obliteration and complications, and it can only be performed in superselective AVFs with simple angioarchitecture.…”
Section: Discussionmentioning
confidence: 99%
“…However, intracranial DAVFs with drainage into the perimedullary veins of the cervical spine, i. e., classified as Cognard type V, should be considered (▶ Fig. 8f-i) [100,102]. Whereas the initial clinical course usually presents with slowly progressive or fluctuating symptoms, mild neurological deficits can be misleading as sudden deterioration due to concomitant ischemic aggravations may occur [5,98,99].…”
Section: Vascular Spinal Cord Diseasesmentioning
confidence: 99%
“…Gefäßassoziierte peri- oder intramedulläre Signalalterationen weisen auf eine vaskuläre Myelopathie infolge venöser Kongestion bei spinalen, aber auch intrakraniellen duralen AV-Fisteln oder spinalen AV-Malformationen (AVM) hin ( Abb. 10 ) 42 , 43 , 44 . Klinisch besteht oft ein chronisch progredienter und mitunter mehrjähriger Verlauf mit intermittierenden akuten Verschlechterungen infolge zirkumskripter spinaler Ischämien 43 .…”
Section: Differenzialdiagnose Nicht Entzündlicher/inflammatorischer M...unclassified