TABLE 1:

Summary of the six cases with arteriovenous fistulas at the cervicomedullary junction

Patient No./Age (y)/SexSymptomFeederSDAVF/SPAVFFistula PointDrainerRelated SinusTreatmentOutcome
1/61/MSAHMeningeal arterySDAVFJugular foramenAnteromedial medullary veinSuperior petrosal sinus–cavernous sinusDrainer occlusionGR
2/56/MSAHMeningeal arterySDAVFJugular foramenAnterior spinal veinCavernous sinusDrainer occlusionGR
Petrosal vein
3/75/MSAHAscending pharyngeal arterySDAVFJugular foramenPontomedullary veinInferior petrosal sinusDrainer occlusionMD
Inferior petrosal vein
4/68/MSAHMeningeal arterySDAVFJugular foramenAnterior hemispheric veinInferior petrosal sinusDrainer occlusionGR
Lateral medullary vein
5/54/MSAHAnterior spinal arterySPAVFJugular foramen–C1Lateral medullary veinInferior petrosal sinusFeeder occlusionGR
6/56/FSAHAnterior spinal arterySPAVFJugular foramen–C1Lateral hemispheric veinInferior petrosal sinusFeeder occlusionGR
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.