Epidural Arteriovenous Fistula in the Cervical Spine Associated with Unilateral Upper Extremity Pain: A Case Report.
10.4184/jkss.2006.13.1.59
- Author:
Jong Woo CHAE
1
;
Han CHANG
;
Ho Jin NAM
;
Myung Sang MOON
Author Information
1. Spine Center, Department of Orthopaedic Surgery, Sun General Hospital, Daejeon, Korea. hc5771@chollian.net
- Publication Type:Case Report
- Keywords:
Epidural Arteriovenous Fistula;
Endovascular Embolization
- MeSH:
Angiography;
Arteries;
Arteriovenous Fistula*;
Female;
Fistula;
Humans;
Lower Extremity;
Magnetic Resonance Imaging;
Neck Pain;
Neurologic Examination;
Platinum;
Radiculopathy;
Spinal Canal;
Spine*;
Upper Extremity*
- From:Journal of Korean Society of Spine Surgery
2006;13(1):59-63
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We experienced a rare case of an epidural arteriovenous fistula, which presented with symptoms similar to those of cervical radiculopathy. An 18-years-old woman suffered from neck pain, which radiated to the left upper extremity for 4 months. On neurologic examination, there were sensory impairments of the left C4 to C8 dermatomes and intermittent weakness in both lower extremities after exercise. An MRI of the cervical spine demonstrated a mass, which produced a serpentine-like signal void within the spinal canal from C1 to C7. The feeding artery of the fistula and the arterialized epidural venous plexus within the spinal canal were found on vertebral angiography. One year after an endovascular embolization with platinum coils, the clinical symptoms resolved and complete resolution of the arteriovenous fistula was confirmed by angiogram and MRI scan.
