Summary of the six cases with arteriovenous fistulas at the cervicomedullary junction
Patient No./Age (y)/Sex | Symptom | Feeder | SDAVF/SPAVF | Fistula Point | Drainer | Related Sinus | Treatment | Outcome |
---|---|---|---|---|---|---|---|---|
1/61/M | SAH | Meningeal artery | SDAVF | Jugular foramen | Anteromedial medullary vein | Superior petrosal sinus–cavernous sinus | Drainer occlusion | GR |
2/56/M | SAH | Meningeal artery | SDAVF | Jugular foramen | Anterior spinal vein | Cavernous sinus | Drainer occlusion | GR |
Petrosal vein | ||||||||
3/75/M | SAH | Ascending pharyngeal artery | SDAVF | Jugular foramen | Pontomedullary vein | Inferior petrosal sinus | Drainer occlusion | MD |
Inferior petrosal vein | ||||||||
4/68/M | SAH | Meningeal artery | SDAVF | Jugular foramen | Anterior hemispheric vein | Inferior petrosal sinus | Drainer occlusion | GR |
Lateral medullary vein | ||||||||
5/54/M | SAH | Anterior spinal artery | SPAVF | Jugular foramen–C1 | Lateral medullary vein | Inferior petrosal sinus | Feeder occlusion | GR |
6/56/F | SAH | Anterior spinal artery | SPAVF | Jugular foramen–C1 | Lateral hemispheric vein | Inferior petrosal sinus | Feeder occlusion | GR |
Inferior vermian vein |
SAH indicates subarachnoid hemorrhage; GR, good recovery; MD, moderately disabled; C, cervical; SDAVF, spinal dural arteriovenous fistula; SPAVF, spinal perimedullary arteriovenous fistula.