American Journal of Neuroradiology, Vol 19, Issue 3 583-586, Copyright © 1998 by American Society of Neuroradiology
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Craniocervical dural fistula associated with cervical myelopathy: angiographic demonstration of normal venous drainage of the thoracolumbar cord does not rule out diagnosis
I Trop, D Roy, J Raymond, A Roux, P Bourgouin and J Lesage
Department of Radiology, University of Montreal Medical Center, Quebec, Canada.
We report a case of craniocervical dural arteriovenous fistula with perimedullary venous drainage associated with cervical myelopathy in which spinal angiography showed a normal venous phase after injection of the artery of Adamkiewicz. We conclude that because of the complex venous drainage of the spinal cord, a dural arteriovenous fistula with spinal drainage cannot be ruled out solely because a normal venous phase is seen in the lower part of the cord, as has previously been suggested.
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