Congestive myelopathy due to spinal dural arteriovenous fistula mimicking CNS demyelinating diseaseopen access
- Authors
- Kim, Nakhoon; Kim, Hongil; Kim, Hyunkee; Park, Jinseok
- Issue Date
- Dec-2022
- Publisher
- Korean Society of Cerebrovascular Surgeons (KSCVS)
- Keywords
- Congestive myelopathy; Demyelinating diseases; Dural arteriovenous fistula; Multiple sclerosis; Neuromyelitis optica; Quadriplegia
- Citation
- Journal of Cerebrovascular and Endovascular Neurosurgery, v.24, no.4, pp.398 - 403
- Indexed
- SCOPUS
KCI
OTHER
- Journal Title
- Journal of Cerebrovascular and Endovascular Neurosurgery
- Volume
- 24
- Number
- 4
- Start Page
- 398
- End Page
- 403
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/182379
- DOI
- 10.7461/jcen.2022.E2021.11.003
- ISSN
- 2234-8565
- Abstract
- Spinal dural arteriovenous fistula (SDAVF) is known for its ambiguous and various clinical presentations. Among these presentations, congestive myelopathy is one of the most common, yet it is challenging to correctly diagnose SDAVF at initial presentation. Several diseases present as myelopathy, including demyelinating diseases. Herein, we present two cases of congestive myelopathy due to SDAVF presenting to the emergency room (ER) with progressive quadriparesis. Even though the patients had a proper magnetic resonance imaging (MRI) examination from the initial presentation, there was a delay in making a final diagnosis. Both patients’ clinical presentation and MRI mimicked central nervous system (CNS) demyelinating disease initially, and a more thorough examination revealed SDAVF. Such a delay in diagnosis can result in more neurological deterioration and may result in more sequelae. Hence, SDAVF should always be considered as a differential diagnosis when examining patients with myelopathy.
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