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An epidural arteriovenous fistula studied with time-resolved imaging of contrast kinetics (TRICKS) sequence. | LitMetric

AI Article Synopsis

  • The study discusses how time-resolved MR angiography was used to diagnose a cervical epidural arteriovenous fistula in a 42-year-old woman who presented with headaches, dizziness, and limb issues.
  • Angiographic tests revealed a direct, high-flow connection between the right vertebral artery and the cervical epidural venous plexus, specifically located below the C2 spinal segment.
  • The findings suggest that time-resolved MR angiography could provide valuable insights for treatment planning and monitoring in cases of suspected arteriovenous fistulas.

Article Abstract

We describe the use of time-resolved MR angiography in the diagnosis of cervical epidural arteriovenous fistula before final diagnosis and embolization was achieved by digital subtraction angiography. A 42-year-old woman was referred to us because of headache and dizziness, in addition to radiculopathy of the right superior limb. Angiographic examinations documented a direct high-flow arteriovenous fistula between the right vertebral artery and the cervical epidural venous plexus. The point of fistula was located in the upper third of the cervical segment below the C2 arch. Time-resolved MR angiography might add important information in case of suspected arteriovenous fistula, helpful both for therapeutic decisions and follow-up.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5131765PMC
http://dx.doi.org/10.1177/1971400916666557DOI Listing

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