Natural history of an incidentally discovered spinal dural arteriovenous fistula
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We evaluated a 56-year-old man for a spinal cord syndrome of progressive bilateral leg weakness with dysuria and paresthesias of the lower limbs. T2-weighted MRI showed a hyperintensive signal of the dorsal medulla and mild vascular dilations at the surface of the spinal cord. The suspected diagnosis of spinal dural arteriovenous fistulas (SDAVF) was confirmed by spinal angiography. The fistula was fed by the right T-6 intercostal artery and drained into the posterior spinal vein.
When the patient was informed of his diagnosis, he replied that he had known about the anomaly for 2 years. Two years before, he had undergone a body CT scan for an unrelated condition. Tubular contrast enhancement of the spinal canal had prompted a spine MRI and MR angiography (MRA). MRI showed vascular dilations at the surface of the spinal cord …
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