Article Text

Download PDFPDF
Case report
Intracranial dural arteriovenous fistula presenting as an enhancing lesion of the medulla
  1. Athos Patsalides1,2,
  2. Efstathia Tzatha3,
  3. Joerg-Patrick Stübgen3,
  4. Dikoma C Shungu1,
  5. Philip E Stieg2,
  6. Y Pierre Gobin1,2
  1. 1Department of Radiology, New York Presbyterian Hospital/Weill Cornell Medical College, New York, New York, USA
  2. 2Department of Neurosurgery, New York Presbyterian Hospital/Weill Cornell Medical College, New York, New York, USA
  3. 3Department of Neurology, New York Presbyterian Hospital/Weill Cornell Medical College, New York, New York, USA
  1. Correspondence to Dr A Patsalides, Division of Interventional Neuroradiology, Departments of Neurosurgery and Radiology, New York Presbyterian Hospital/Weill Cornell Medical College, 525 East 68th Street, Box 99, New York, NY 10065, USA; atp9002{at}med.cornell.edu

Abstract

A case of atypical clinical and imaging manifestations of an intracranial dural arteriovenous fistula (DAVF) is reported. A 53-year-old man presented with orthostatic syncope and tingling of the fingertips of both hands, and the initial imaging findings were interpreted as brainstem mass. A catheter angiogram confirmed the presence of an intracranial DAVF with venous drainage around the brainstem and spinal cord. The lesion was treated by endovascular embolization and the patient remains asymptomatic 9 months after treatment.

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.