American Journal of Neuroradiology, Vol 17, Issue 8 1549-1554, Copyright © 1996 by American Society of Neuroradiology
ARTICLES |
Intracranial dural arteriovenous fistulas with spinal venous drainage: relation between clinical presentation and angiographic findings
L Brunereau, YP Gobin, JF Meder, C Cognard, JM Tubiana and JJ Merland
Service de Neuroradiologie et Angiographie Therapeutique, Hopital Lariboisiere, Paris, France.
PURPOSE: To investigate why some patients with an intracranial dural arteriovenous fistula (DAVF) with spinal venous drainage have myelopathy and others do not. METHODS: We reviewed the clinical and radiologic data for 12 patients who had a DAVF with spinal venous drainage diagnosed at our institutions from 1982 to 1995. RESULTS: Six patients had progressive spinal cord indications of disease (patients with myelopathy) and six others (patients without myelopathy) had cerebral indications (five had intracranial hemorrhage and one had a seizure). Cerebral angiography showed a posterior fossa DAVF with spinal venous drainage in all cases. The clinical presentation of DAVFs with spinal venous drainage was compared with the extent of the drainage. In patients without myelopathy, the spinal venous drainage exited the intradural canal via the cervical medullary-radicular veins and was therefore limited to the cervical perimedullary veins. In patients with myelopathy, no medullary-radicular vein was seen, and the venous drainage descended along the perimedullary veins of the entire spinal cord toward the conus medullaris. CONCLUSION: We found an exact relation between clinical presentation and venous drainage of DAVFs with spinal venous drainage. Patients had no myelopathy when the venous drainage was limited to the cervical cord; myelopathy was present when the venous drainage descended toward the conus medullaris.
This article has been cited by other articles:
 |
|
 |
|
  S.W. Hetts, J. Narvid, T. Singh, S. Meagher, K. Corcoran, R.T. Higashida, C.F. Dowd, and V.V. Halbach Association between Lumbar Epidural Injection and Development of Acute Paraparesis in Patients with Spinal Dural Arteriovenous Fistulas AJNR Am. J. Neuroradiol., March 1, 2007; 28(3): 581 - 583. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W.J. van Rooij, M. Sluzewski, and G.N. Beute Intracranial Dural Fistulas with Exclusive Perimedullary Drainage: The Need for Complete Cerebral Angiography for Diagnosis and Treatment Planning AJNR Am. J. Neuroradiol., February 1, 2007; 28(2): 348 - 351. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Jellema, C. C. Tijssen, and J. v. Gijn Spinal dural arteriovenous fistulas: a congestive myelopathy that initially mimics a peripheral nerve disorder Brain, December 1, 2006; 129(12): 3150 - 3164. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Kai, J.-i. Hamada, M. Morioka, S. Yano, T. Mizuno, and J.-i. Kuratsu Arteriovenous Fistulas at the Cervicomedullary Junction Presenting with Subarachnoid Hemorrhage: Six Case Reports with Special Reference to the Angiographic Pattern of Venous Drainage AJNR Am. J. Neuroradiol., September 1, 2005; 26(8): 1949 - 1954. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. M. C. van Dijk, K. G. TerBrugge, R. A. Willinsky, R. I. Farb, and M. C. Wallace Multidisciplinary Management of Spinal Dural Arteriovenous Fistulas: Clinical Presentation and Long-Term Follow-Up in 49 Patients Stroke, June 1, 2002; 33(6): 1578 - 1583. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. Bousson, L. Brunereau, K. Vahedi, and R. Chapot Intracranial dural fistula as a cause of diffuse MR enhancement of the cervical spinal cord J. Neurol. Neurosurg. Psychiatry, August 1, 1999; 67(2): 227 - 230. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Willinsky, M. Goyal, K. terBrugge, and W. Montanera Tortuous, Engorged Pial Veins in Intracranial Dural Arteriovenous Fistulas: Correlations with Presentation, Location, and MR Findings in 122 Patients AJNR Am. J. Neuroradiol., June 1, 1999; 20(6): 1031 - 1036. [Abstract] [Full Text]
|
|
|
|
|
|
H. M. Do, M. E. Jensen, H. J. Cloft, D. F. Kallmes, and J. E. Dion Dural Arteriovenous Fistula of the Cervical Spine Presenting with Subarachnoid Hemorrhage AJNR Am. J. Neuroradiol., February 1, 1999; 20(2): 348 - 350. [Abstract] [Full Text]
|
|