Radiology Case Reports (Jun 2017)

A case report of spinal dural arteriovenous fistula: origins, determinants, and consequences of abnormal vascular malformations

  • Sherry M. Zakhary, DO,
  • Christopher L. Hoehmann, BS,
  • Joshua A. Cuoco, MS,
  • Kyle Hitscherich, BA,
  • Hamid Alam, MD,
  • German Torres, PhD

DOI
https://doi.org/10.1016/j.radcr.2017.03.007
Journal volume & issue
Vol. 12, no. 2
pp. 376 – 382

Abstract

Read online

A spinal dural arteriovenous fistula is an abnormally layered connection between radicular arteries and venous plexus of the spinal cord. This vascular condition is relatively rare with an incidence of 5–10 cases per million in the general population. Diagnosis of spinal dural arteriovenous fistula is differentiated by contrast-enhanced magnetic resonance angiography or structural magnetic resonance imaging, but a definitive diagnosis requires spinal angiography methods. Here, we report a case of a 67-year-old female with a spinal dural arteriovenous fistula, provide a pertinent clinical history to the case nosology, and discuss the biology of adhesive proteins, chemotactic molecules, and transcription factors that modify the behavior of the vasculature to possibly cause sensorimotor deficits.

Keywords