본문 바로가기
KERD
논문KCI 등재

진행뇌척수병증을 보인 천막경막동정맥루

Tentorial Dural Arteriovenous Fistula Presenting With Progressive Encephalomyelopathy

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류신경과학

초록

A 68-year-old man developed mild quadriparesis 1 month prior to presentation. At 4 days before presentation, he developed dysarthria and more severe quadriparesis, predominantly on the left side of the body. MRI revealed edematous lesions in the medulla and throughout the spinal cord. Angiography showed a right tentorial dural arteriovenous fistula (DAVF). Despite successful treatment achieved by endovascular embolization, there was no improvement in the weakness of either leg. Early diagnosis of tentorial DAVF is important to prevent neurological complications such as encephalomyelopathy and hemorrhage.

Abstract

A 68-year-old man developed mild quadriparesis 1 month prior to presentation. At 4 days before presentation, he developed dysarthria and more severe quadriparesis, predominantly on the left side of the body. MRI revealed edematous lesions in the medulla and throughout the spinal cord. Angiography showed a right tentorial dural arteriovenous fistula (DAVF). Despite successful treatment achieved by endovascular embolization, there was no improvement in the weakness of either leg. Early diagnosis of tentorial DAVF is important to prevent neurological complications such as encephalomyelopathy and hemorrhage.

참고문헌 (10)

  1. Santillan A, "Endovascular management of intracranial dural arteriovenous fistulas : a review", Clin Neurol Neurosurg, 115, pp.241~251 (2013)
  2. Khan S, "Tentorial dural arteriovenous fistula presenting with quadriparesis : case report and review of the literature", J Stroke Cerebrovasc Dis, 18, pp.428~434 (2009)
  3. Ricolfi F, "Intracranial dural arteriovenous fistulae with perimedullary venous drainage. Anatomical, clinical and therapeutic considerations", Neuroradiology, 41, pp.803~812 (1999)
  4. Asakawa H, "Intracranial dural arteriovenous fistula showing diffuse MR enhancement of the spinal cord : case report and review of the literature", Surg Neurol, 58, pp.251~257 (2002)
  5. Renner C, "Intracranial dural arterio venous fistula associated with progressive cervical myelopathy and normal venous drainage of the thoracolumbar cord : case report and review of the literature", Surg Neurol, 65, pp.506~510 (2006)
  6. Versari PP, "Progressive myelopathy caused by intracranial dural arteriovenous fistula: report of two cases and review of the literature", Neurosurgery, 33, pp.914~918 (1993)
  7. Cognard C, "Cerebral dural arteriovenous fistulas : clinical and angiographic correlation with a revised classification of venous drainage", Radiology, 194, pp.671~680 (1995)
  8. Davies MA, "The validity of classification for the clinical presentation of intracranial dural arteriovenous fistulas", J Neurosurg, 85, pp.830~837 (1996)
  9. Tomak PR, "Evolution of the management of tentorial dural arteriovenous malformations", Neurosurgery, 52, pp.750~760 (2003)
  10. Deasy NP, "Tentorial dural arteriovenous fistulae : endovascular treatment with transvenous coil embolisation", Neuroradiology, 41, pp.308~312 (1999)

이 간행물의 다른 논문 (21건)