Skip to main content
SpringerLink
Log in

Successful surgical treatment of a dural arteriovenous fistula at the craniocervical junction with reference to pre- and postoperative MRI

  • INTERVENTIONAL NEURORADIOLOGY
  • Published:
Neuroradiology Aims and scope Submit manuscript

Abstract

We report a 62-year-old woman who presented with a myelopathy at the lower thoracic level. Left vertebral angiography revealed a dural arteriovenous fistula (DAVF) at the craniocervical junction, draining into an anterior spinal vein. Below the T 7 level, the spinal cord gave high signal on T 2-weighted images and enhanced with Gd-DTPA. The patient was successfully treated by simple clipping of vein draining the DAVF. The abnormal signal intensity and contrast enhancement rapidly regressed, except in the conus medullaris. Regression of the parenchymal abnormality on serial MRI following treatment corresponded closely with postoperative improvement of neurological function.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Juntendo University School of Medicine, 2-1-1, Hongo, Bunkyo-ku, Tokyo 113-0033, Japan, Tel.: + 81-3-58 02 12 23, Fax: + 81-3-56 89 83 43, , , , , , JP

    H. Oishi, O. Okuda & H. Arai

  2. Department of Radiology, Juntendo University School of Medicine, Tokyo, Japan, , , , , , JP

    T. Maehara & Y. Iizuka

Authors
  1. H. Oishi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. O. Okuda
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. H. Arai
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T. Maehara
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Y. Iizuka
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

Received: 28 September 1998 Accepted: 18 November 1998

Rights and permissions

Reprints and permissions

About this article

Cite this article

Oishi, H., Okuda, O., Arai, H. et al. Successful surgical treatment of a dural arteriovenous fistula at the craniocervical junction with reference to pre- and postoperative MRI. Neuroradiology 41, 463–467 (1999). https://doi.org/10.1007/s002340050785

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s002340050785

Search

Navigation