Open AccessCervical spinal dural fistulas leading to remote thoracolumbar myelopathy
Author(s) -
Miguel Martínez,
Abderrahmane Hedjoudje,
Carlos A. Pardo,
Rafael J. Tamargo,
Philippe Gailloud
Publication year - 2020
Publication title -
neurology. clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.674
H-Index - 29
eISSN - 2163-0933
pISSN - 2163-0402
DOI - 10.1212/cpj.0000000000000724
Subject(s) - myelopathy , medicine , spinal cord , arteriovenous fistula , shunt (medical) , radiology , cord , surgery , psychiatry
Spinal dural arteriovenous fistulas (SDAVFs) are abnormal connections between 1 or more radiculomeningeal arteries and a single radiculomedullary vein draining into the perimedullary venous system. SDAVFs present in older patients with a progressive myelopathy caused by diffuse spinal venous hypertension. The discrepancy between the focal nature of the arteriovenous shunt and the extent of the induced myelopathy is a classic feature of SDAVFs related to the coexistence of diffuse spinal venous drainage impairment.