Acta Neurochirurgica

, Volume 161, Issue 8, pp 1523–1527 | Cite as

Long-standing tentorial dural arteriovenous fistula presenting as progressively worsening cervical myelopathy by degenerative cervical intervertebral disc: a case report

  • Ohyuk Kwon
  • Dong Ah Shin
  • Joonho ChungEmail author
Case Report - Vascular Neurosurgery - Other
Part of the following topical collections:
  1. Vascular Neurosurgery – Other


We report a rare case of long-standing asymptomatic tentorial dural arteriovenous fistula (DAVF) presenting as symptomatic progressive cervical myelopathy which was caused by the protrusion of degenerative cervical intervertebral discs into the spinal canal and compression of the anterior spinal vein. The cervical spinal canal was narrowed, and the spinal cord was compressed anteriorly by protrusion of cervical intervertebral discs at the C6–7 level. The intervertebral discs compressed the draining vein of the tentorial DAVF (the anterior spinal vein) so venous congestion of the spinal cord resulted in cervical myelopathy only above the C6 level.


Cervical myelopathy Dural arteriovenous fistula 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in the studies involving human participants were in accordance with the ethical standards of our Institutional Review Board with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Patient consent

The patient has consented to the submission of the case report for submission to the journal.


  1. 1.
    Bousson V, Brunereau L, Vahedi K, Chapot R (1999) Intracranial dural fistula as a cause of diffuse MR enhancement of the cervical spinal cord. J Neurol Neurosurg Psychiatry 67:227–230CrossRefGoogle Scholar
  2. 2.
    Bret P, Salzmann M, Bascoulergue Y, Guyotat J (1994) Dural arteriovenous fistula of the posterior fossa draining into the spinal medullary veins-an unusual cause of myelopathy: case report. Neurosurgery 35:965–968CrossRefGoogle Scholar
  3. 3.
    Brunereau L, Gobin YP, Meder JF, Cognard C, Tubiana JM, Merland JJ (1996) Intracranial dural arteriovenous fistulas with spinal venous drainage: relation between clinical presentation and angiographic findings. AJNR Am J Neuroradiol 17:1549–1954Google Scholar
  4. 4.
    Ernst RJ, Gaskill-Shipley M, Tomsick TA, Hall LC, Tew JM Jr, Yeh HS (1997) Cervical myelopathy associated with intracranial dural arteriovenous fistula: MR findings before and after treatment. AJNR Am J Neuroradiol 18(7):1330–1334Google Scholar
  5. 5.
    Gobin YP, Rogopoulos A, Aymard A, Khayata M, Reizine D, Chiras J, Merland JJ (1992) Endovascular treatment of intracranial dural arteriovenous fistulas with spinal perimedullary venous drainage. J Neurosurg 77:718–723CrossRefGoogle Scholar
  6. 6.
    Ha SY, Kwon YS, Kim BM, Kim DI, Kim DJ (2012) Clinical and angiographic characteristics of multiple dural arteriovenous shunts. AJNR Am J Neuroradiol 33(9):1691–1695CrossRefGoogle Scholar
  7. 7.
    Halbach VV, Higashida RT, Hieshima GB, Mehninger CM, Hardin CW (1989) Transvenous embolization of dural fistulas involving the transverse and sigmoid sinuses. AJNR Am J Neuroradiol 10:385–392Google Scholar
  8. 8.
    Kalamangalam GP, Bhattacharya J, Teasdale E, Thomas M (2002) Myelopathy from intracranial dural arteriovenous fistula. J Neurol Neurosurg Psychiatry 72:816–818CrossRefGoogle Scholar
  9. 9.
    Luciani A, Houdart E, Mounayer C, Saint Maurice JP, Merland JJ (2001) Spontaneous closure of dural arteriovenous fistulas: report of three cases and review of the literature. AJNR Am J Neuroradiol 22:992–996Google Scholar
  10. 10.
    Partington MD, Rufenacht DA, Marsh WR, Piepgras DG (1992) Cranial and sacral dural arteriovenous fistulas as a cause of myelopathy. J Neurosurg 76:615–622CrossRefGoogle Scholar
  11. 11.
    Renner C, Helm J, Roth H, Meixensberger J (2006) Intracranial dural arteriovenous fistula associated with progressive cervical myelopathy and normal venous drainage of the thoracolumbar cord: case report and review of the literature. Surg Neurol 65(5):506–510CrossRefGoogle Scholar
  12. 12.
    Ricolfi F, Manelfe C, Meder JF, Arrue P, Decq P, Brugieres P, Cognard C, Gaston A (1999) Intracranial dural arteriovenous fistulae with perimedullary venous drainage. Anatomical, clinical and therapeutic considerations. Neuroradiology 41:803–812CrossRefGoogle Scholar
  13. 13.
    Versari PP, D’Aliberti G, Talamonti G, Boccardi E, Collice M (1993) Progressive myelopathy caused by intracranial dural arteriovenous fistula: report of two cases and review of the literature. Neurosurgery 33:914–918Google Scholar
  14. 14.
    Wrobel C, Oldfield EH, Di Chiro G, Tarlov EC, Baker RA, Oppman JL (1988) Myelopathy due to intracranial dural arteriovenous fistulas draining intrathecally into spinal medullary veins, report of three cases. J Neurosurg 69:934–939CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Neurosurgery, Severance HospitalYonsei University College of MedicineSeoulRepublic of Korea
  2. 2.Severance Institute for Vascular and Metabolic ResearchYonsei University College of MedicineSeoulRepublic of Korea

Personalised recommendations