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An unusual cause of vertigo and headache in childhood

Eine ungewöhnliche Ursache für Schwindel und Kopfschmerz in der Kindheit

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Summary

Spinal perimedullary arteriovenous fistulas (PMAVFs) are rare entities among vascular malformations of the spinal cord. Due to progressive myelopathy, spastic paresis, sensory disturbance, and bowl and bladder dysfunction can be the presenting symptoms. Cervical spinal arteriovenous fistulas (AVFs) are even rarer. These lesions differ from the ones in the thoracolumbar region and have an even wider mode of presentation. We report on a 9-year-old boy with a cervical PMAVF manifesting with headache and vertigo.

Zusammenfassung

Perimedulläre arteriovenöse Fisteln sind seltene Entitäten unter den spinalen Malformationen. Aufgrund der fortschreitenden Myelopathie treten dabei Symptome wie spastische Paresen, Sensibilitätsstörungen oder auch Entleerungsstörungen von Blase und Mastdarm auf. Zervikal lokalisierte arteriovenöse Fisteln sind noch seltenere Entitäten und äußern sich in einem noch breiteren Spektrum an Symptomen. Wir berichten von einem 9 Jahre alten Jungen mit zervikaler perimedullärer arteriovenöser Fistel, die sich durch Kopfschmerz und Schwindel präsentierte.

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Funding

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Diagnostic and Interventional Neuroradiology, Saarland University Hospital, Kirrberger Straße, 66421, Homburg/Saar, Germany

    Ruben Mühl-Benninghaus, Heiko Körner & Umut Yilmaz

  2. Department of Neurosurgery, Saarland University Medical Center, Homburg/Saar, Germany

    Stefan Linsler

  3. Department of Pediatrics and Neonatology, Saarland University Medical Center, Homburg/Saar, Germany

    Sascha Meyer

  4. Department of Pediatric Neurology, Saarland University Medical Center, Homburg/Saar, Germany

    Sascha Meyer

  5. Department of Pediatric Cardiology, Saarland University Medical Center, Homburg/Saar, Germany

    Martin Poryo

Authors
  1. Ruben Mühl-Benninghaus
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  2. Heiko Körner
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  3. Umut Yilmaz
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  4. Stefan Linsler
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  5. Sascha Meyer
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  6. Martin Poryo
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Corresponding author

Correspondence to Ruben Mühl-Benninghaus.

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Conflict of interest

R. Mühl-Benninghaus, H. Körner, U. Yilmaz, S. Linsler, S. Meyer, and M. Poryo declare that they have no competing interests.

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Mühl-Benninghaus, R., Körner, H., Yilmaz, U. et al. An unusual cause of vertigo and headache in childhood. Wien Med Wochenschr 167, 282–284 (2017). https://doi.org/10.1007/s10354-017-0581-3

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  • DOI: https://doi.org/10.1007/s10354-017-0581-3

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