Lumbar spinal dural arteriovenous fistula presenting with brainstem symptomatology: A case report

S. L. Wu, H. W. Tsui, Y. C. Chuang, H. C. Kuo, C. J. Chen

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

This report is about a rare case of a lumbar spinal dural arteriovenous fistula (DAVF) with distant brainstem symptoms of vertigo and ataxia. Brain magnetic resonance imaging (MRI) demonstrated a high signal abnormality in the lower pons, medulla, and cervico-medullary junction, presumably related to venous hypertension. Spinal MRI revealed markedly dilated veins along the dorsal aspect of the cord, while spinal angiography confirmed the presence of a lumbar spinal DAVF. Because lumbar DAVF may cause remote brainstem symptoms, spinal DAVF should be considered in the differential diagnosis of high signal MRI abnormalities localized in the brainstem. Properly extending the scanning range is essential in the diagnosis.

Original languageEnglish
Pages (from-to)730-732
Number of pages3
JournalActa Radiologica
Volume47
Issue number7
DOIs
Publication statusPublished - Sep 1 2006
Externally publishedYes

Keywords

  • Brainstem
  • Magnetic resonance imaging
  • Spinal dural arteriovenous fistula

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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