Cover Image

CERVICAL AVM PRESENTING AS HYDROCEPHALUS -A CASE REPORT

ANANDHA SHANMUGARAJ M

Abstract


Dural arteriovenous fistulas (DAVFs) in the            cranio-cervical junction are rare but clinically important. DAVFs can be associated with subarachnoid hemorrhage (SAH), a feature distinguishing them from DAVFs in the            thoraco-lumbar region. These lesions are often overlooked at cerebral angiography performed to assess SAH and account for a small proportion of angiographically negative SAHs. After managing a case of cervical spinal dural AVM with SAH manifesting as hydrocephalus, we analyzed all cases in the literature to identify features associated with bleeding at  presentation.


Full Text:

PDF

References


References

Rosenblum B, Oldfield EH, Doppman JL, Di Chiro G. Spinal arteriovenous malformation: a comparison of dural arteriovenous fistulas and intradural AVM’s in 81 patients. J Neurosurg 1987;67: 795–802

Symon L, Kuyama H, Kendall B. Dural arteriovenous malformations of the spine Clinical features and surgical results in 55 cases. J Neurosurg 1984;60:238–247

Merland JJ, Riche MC, Chiras J. Intraspinal extramedullary arteriovenousfistulae draining into the medullary veins. J Neuroradiol 1980;7:271–320

Kinouchi H, Mizoi K, Takashashi A, Nagamine Y, Koshu K, Yoshimoto T. Dural arteriovenous shunts at the craniocervical junction. J Neurosurg 1998;89:755–761

Cahan LD, Higashida RT, Halbach VV, Hieshima GB. Variants of radiculomeningeal vascular malformation of the spine. J Neurosurg 1987;66:333–337

Do HM, Jensen ME, Cloft HJ; Kallmes DF, Dion JE. Dural arteriovenous fistula of the cervical spine presenting with subarachnoid haemorrhage. AJNR Am J Neuroradiol 1999;20:348 –350

Hanabusa K, Morikawa A, Tashiro H, Yamanaka M. Craniocervical junction dural arteriovenous malformation presenting with subarachnoid haemorrhage: report of two cases. No Shenkei Geka

;27:237–241

Hashimoto H, Iida J, Shin Y, Hironaka Y, Sakaki T. Spinal dural arteriovenous fistula with perimesencephalic subarachnoid haemorrhage. J Clin Neurosci 2000;7:64–66

Ikeda H, Fujimoto Y, Koyama T, Fujimoto Y. A rare case of high cervical spinal cord dural arteriovenous fistula presenting with intracranial subarachnoid haemorrhage. No Shinkei geka 1994;22: 1045–1048

Morimoto T, Yoshida S, Basugi N. Dural arteriovenous malformation in the cervical spine presenting with subarachnoid haemorrhage: case report. Neurosurgery 1992;31:118–120

Niwa J, Matsumura S, Maeda Y, Ohoyama H. Transcondylar approach for dural arteriovenous fistulas of the cervicomedullary junction. Surg-Neurol 1997;48:627–631

Nonaka M, Tanaka Y, KanemotoY. Angiographically occult high cervical dural arteriovenous malformation secondary to intracranial hypertension: a case report. No Shinkei Geka 1999;27:1145– 1150

Rivierez M, Gazengel J, Chiras J, et al. Les fistules arterio-veneuses vertebro-durales du trou occipital a drainage medullaire Deux observations. Neurorchirurgie 1991;37:179–184

Willinsky R, TerBrugge K, Lasjaunias P, Montanera W. The variable presentations of craniocervical and cervical dural arteriovenous malformations. Surg Neurol 1990;34:118–123

Kohno M; Takahashi H, Ide K, Ishijima B, Yamada K, Nemoto S. A cervical arteriovenous fistula in a patient presenting with radiculopathy: case report. J Neurosurg 1996;84:119–123

Oda Y, Konishi T, Suzui H, et al. Partially thrombosed radiculomeningeal arteriovenous fistula in spinomedullary junction. No Shinkei Geka 1989;17:63–68

Gaensler E, Jackson D, Halbach V. Areriovenous fistulas of the cervicomedullary junction as a cause of myelopathy: radiographic findings in two cases. AJNR Am J Neuroradiol 1990;11:518–521

Yamada H, Muramatsu S, Nishizawa M, Yoshida M. A case of cervical dural arteriovenous malformation showing the dumbbell type growth. Rinsho Shinkeigaku 1991;31:1039–1042

Glasser R, Masson R, Mickle JP, Peters KR. Embolisation of a dural arteriovenous fistula of the ventral cervical spinal canal in a nine-year-old boy. Neurosurgery 1993;33:1089–1093

Mascalachi M, Scazzeri F, Prosetti D, Ferrito G, Salvi F, Quilici N. Dural arteriovenous fistula at the craniocervical junction with perimedullary venous drainage. AJNR Am J Neuroradiol 1996;17: 1137–1141

Yoshida S, Oda Y, Kawakami Y, Sato S. Progressive myelopathy caused by dural arteriovenous fistula at the craniocervical junction: case report. Neurol Med Chir Tokyo 1999;35:376–379

Oishi H, Okuda O, Arai H, Maehara T, Iizuka Y. Successful surgical treatment of a dural arteriovenous fistula at the craniocervical junction with reference to pre- and postoperative MRI. Neuroradiology 1999;41: 463–467

Miyoshi Y, Taniwaki T, Arakawa K, Yamada T, Uda K, Inoue T, Kira J. A case of cervical myelopathy due to dural arteriovenous fistula at the craniocervical junction. Rinsho Shinkeigaku 1999;39:836–841 AJNR: 25, May 2004 DURAL ARTERIOVENOUS FISTULA 857

Reinges MHT, Thron A, Mull M, Huffman BC, Gilsbach JM. Dural arteriovenous fistulae at the

foramen magnum. J Neurol 2001;248:197–203

Trop I, Roy D, Raymond J, Roux A, Bourgouin P, Lesage J. Craniocervical dural fistula associated with cervical myelopathy: angiographic demonstration of normal venous drainage of the thoracolumbar cord does not rule out diagnosis. AJNR Am J Neuroradiol 1998;19:583–586

Kinouchi H, Mizoi K, Takashashi A, et al. Dural arteriovenous shunts at the craniocervical junction. J Neurosurg 1998;89:755–761

Kendall BE, Logue V. Spinal epidural angiomatous malformations draining into intrathecal veins. Neuroradiology 1977;13: 181–189

Tadie M, Hemet J, Aaron C, et al. Le dispositif protecteur antireflux des veines de la moelle. Neurochirurgie 1979;25:28–30

Benhaiem N, Poirier J, Hurth M. Arteriovenous fistula of the meninges draining into the spinal veins: a histological study of 28 cases. Acta Neuropathol 1983;62:103–111

Aminoff MJ, Barnard RO, Logue V, et al. The pathophysiology of spinal vascular malformations. J Neurol Sci 1974;23:255–263

Hassler W, Thron A, Grote EH. Haemodynamics of spinal dural arteriovenous fistulas: an intraoperative study. J Neurosurg 1989; 70:360–370

Foix C, Alajouanine T. La myelite necrotique subaigue: Myelite centrale angio-hypertophique a evolution progressive—Paraplegie amyotrophique lentement ascendante, d’abord spasmodique, puis 15 flasque, s’accompagnant de dissociation albumino-cytologique. Rev Neurol (Paris) 1926;33:1–42

Hurst RW, Kenyon LC, Lavi E, Raps EC, Marcotte P. Spinal dural arteriovenous fistula: the pathology of venous hypertensive myelopathy. Neurology 1995;45:1309–1313

Chiba S, Nishioka H, Saitoh M, Imai T, Tanabe S, Matsumoto H. Cervical dural arteriovenous malformation presenting with right sided occipitalgia: before and after successful treatment by embolisation. Headache 1994;34:234–236

Masuo O, Ozaki F, Okita R, et al. Dural arteriovenous fistula at the craniocervical junction presenting with schaemic attack: a case report. No Shinkei Geka 1999;27:1043–1046


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University