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Traumatic Carotid‐Cavernous Fistula with Pontomesencephalic and Cervical Cord Venous Drainage Presenting as Tetraparesis
Author(s) -
Herrera Diego A.,
Vargas Sergio A.,
Dublin Arthur B.
Publication year - 2011
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/j.1552-6569.2009.00400.x
Subject(s) - medicine , tetraparesis , carotid cavernous fistula , spinal cord , myelopathy , arteriovenous fistula , fistula , radiology , surgery , vein , magnetic resonance imaging , psychiatry
A 27‐year‐old male presented with progressive ascending myelopathy leading to tetraparesis. Magnetic resonance imaging of the cervical spine showed dilated perimedullary veins and spinal cord edema. Catheter angiography demonstrated a direct carotid‐cavernous fistula (CCF) with prominent pontomesencephalic and perimedullary venous drainage. Successful coil embolization of the fistula was performed with improvement of the patient's symptoms. To our knowledge, no case of a direct CCF with perimedullary drainage has been previously reported.