Dural Arteriovenous Fistula with Spinal Dural Arteriovenous Fistula: a Case Report and Review of the Literature

Overview

Journal J Med Case Rep

Publisher Biomed Central

Specialty General Medicine

Date 2023 Oct 23

PMID 37872601

Authors

Peixin Wang

Lele Zhang

Wenqian Zhang

Tiejun Shi

Yikun Sun

Shaojie Cui

Dan Zhang

Fanxuan Kong

Tao Wang

Affiliations

Soon will be listed here.

Abstract

Background: This paper analyzed the cases of dural arteriovenous fistula (DAVF) with spinal dural arteriovenous fistula (SDAVF) in the diagnosis and treatment process.

Case Presentation: One case involving dural arteriovenous fistula (DAVF) with spinal dural arteriovenous fistula (SDAVF) from the 306th Hospital of PLA was retrospectively analyzed. The patient consulted the doctor due to lower limb sensory and motor disorders while exhibiting symptoms of urinary dysfunction. A computed tomographic angiography (CTA) and cerebral angiography confirmed the diagnosis of dural arteriovenous fistula (DAVF), necessitating surgical treatment. The patient was referred to our hospital for an magnetic resonance imaging (MRI) and a spinal angiography to obtain a confirmed diagnosis for spinal arteriovenous fistula, after which they underwent surgical fistula resection. The invasive intracranial dural arteriovenous fistula (DAVF) resection proceeded smoothly but did not ease the patient's symptoms. However, postoperative symptoms were partially relieved by the lumbar open spinal dural arteriovenous fistula adminstration.

Conclusions: Since not enough is understood about these two diseases, the rate of misdiagnosis is significantly increased. Early diagnosis and treatment of spinal dural arteriovenous fistula (SDAVF) can play a positive role during the recovery from neural function damage.

Citing Articles

Surviving a Rare Case: Successful Endovascular Treatment for Multiple Dural Venous Sinus Thrombosis With Dural Arteriovenous Fistula.

Reddy H, Khan F, Kumar S, Acharya S, Banode P, Desale R Cureus. 2024; 16(2):e55238.

PMID: 38558748 PMC: 10981515. DOI: 10.7759/cureus.55238.

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