Unique Gadolinium Enhancement Pattern in Spinal Dural Arteriovenous Fistulas | Zendy

Nicholas L. Zalewski | Zendy; Alejandro A. Rabinstein | Zendy; Waleed Brinjikji | Zendy; Timothy J. Kaufmann | Zendy; Deena M. Nasr | Zendy; Michael W. Ruff | Zendy; Eoin P. Flanagan | Zendy

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Unique Gadolinium Enhancement Pattern in Spinal Dural Arteriovenous Fistulas

Author(s) -

Nicholas L. Zalewski,

Alejandro A. Rabinstein,

Waleed Brinjikji,

Timothy J. Kaufmann,

Deena M. Nasr,

Michael W. Ruff,

Eoin P. Flanagan

Publication year - 2018

Publication title -

jama neurology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 5.298

H-Index - 231

eISSN - 2168-6157

pISSN - 2168-6149

DOI - 10.1001/jamaneurol.2018.2605

Subject(s) - medicine , myelopathy , magnetic resonance imaging , radiology , gadolinium , spinal cord , fistula , arteriovenous fistula , retrospective cohort study , surgery , materials science , psychiatry , metallurgy

Spinal dural arteriovenous fistula (sDAVF) is often misdiagnosed as an inflammatory or a neoplastic myelopathy, often because of intraparenchymal gadolinium enhancement on magnetic resonance imaging (MRI); proper early diagnosis is important because deficits are reversible and a delay in treatment is associated with permanent morbidity. Tortuous flow voids on MRI are not universally present; thus, recognition of a unique gadolinium enhancement pattern may also aid in the early recognition and treatment of sDAVF.

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