Cervical extradural arteriovenous fistula with radiculopathy managed endovascularly.

Surg Neurol Int

Department of Neurosurgery,University of Rochester, Strong Memorial Hospital, Rochester, New York, United States.

Published: July 2023

Background: Extradural arteriovenous fistulas (AVFs) of the cervical spine are extremely rare, and typically manifest as slowly progressive myelopathy caused by mass effect. This is a unique case of extradural AVF of the cervical spine manifesting with purely radicular symptoms and treated endovascularly with coil and liquid embolization.

Case Description: A 55-year-old woman presented with neck pain and right upper extremity radiculopathy persisting for 9 months. Imaging studies demonstrated an AVF spanning from C4-C6 with extension into the C5-C6 foramen supplied primarily from the deep cervical branch of the costocervical trunk. The patient underwent successful coil and liquid (Onyx) embolization. Six-week postoperatively, the patient's symptoms completely resolved and magnetic resonance imaging and angiographic imaging confirmed complete obliteration of the fistula.

Conclusion: While extradural AVFs typically present with myelopathic symptoms, they may present with solely radicular symptoms and can be successfully treated endovascularly.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10408600PMC
http://dx.doi.org/10.25259/SNI_306_2023DOI Listing

Publication Analysis

Top Keywords

extradural arteriovenous
8
cervical spine
8
radicular symptoms
8
symptoms treated
8
treated endovascularly
8
coil liquid
8
cervical
4
cervical extradural
4
arteriovenous fistula
4
fistula radiculopathy
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!