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Neuroimaging
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.

http://dx.doi.org/10.1136/jnis.2009.001750

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

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