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Acta Neurochirurgica

, Volume 149, Issue 12, pp 1255–1257 | Cite as

Spinal dural arterio-venous fistula with multiple points of shunt

  • M. Cenzato
  • C. Mandelli
  • F. Scomazzoni
Case Report

Summary

A 45-year-old man presented with a history of dysaesthesiae, sensory impairment of the legs and sphincter disturbances.

Selective angiography showed a mid-thoracic dural arterio-venous fistula with five shunt points. The venous plexuses were demonstrated by injections at T5 on the right side and T6 on the left, but the venous pattern on the two sides did not overlap. Angiography did not unquestionably point to any single location of a fistula, as would normally be expected.

During surgery five dorsal locations of shunt were identified.

We have not found any publication describing a spinal dural arterio-venous fistula with multiple venous drainage channels at the same level.

Keywords: Spinal dural arterio-venous fistula; spinal angiography; myelopathy. 

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References

  1. Alleyne, CH,Jr, Barrow, DL, Joseph, G 1999Surgical management of angiographically occult spinal dural arterio-venous fistulae (Type I spinal arterio-venous malformations): three technical case reportsNeurosurgery44891894PubMedCrossRefGoogle Scholar
  2. Anson, JA, Spetzler, RF 1993Spinal dural arterio-venous malformationsAwad, IABarrow, DL eds. Dural arterio-venous malformationsAANSPark Ridge175191Google Scholar
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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • M. Cenzato
    • 1
  • C. Mandelli
    • 2
  • F. Scomazzoni
    • 3
  1. 1.University of BresciaBresciaItaly
  2. 2.Department of NeurosurgeryMilanoItaly
  3. 3.Department of NeuroradiologyMilanoItaly

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