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Neurology, Vol 45, Issue 7 1309-1313, Copyright © 1995 by American Academy of Neurology

ARTICLES

Spinal dural arteriovenous fistula: the pathology of venous hypertensive myelopathy

RW Hurst, LC Kenyon, E Lavi, EC Raps and P Marcotte
Department of Radiology, University of Pennsylvania Medical Center, Philadelphia, USA.

Spinal dural arteriovenous fistulas (SDAVFs) are the most common type of spinal vascular malformation. The arteriovenous shunts, located entirely outside the spinal cord, cause a clinical picture of chronic progressive myelopathy believed to arise from the effects of increased venous pressure and impaired venous drainage on the spinal cord. Despite their well-described clinical and angiographic features, no reports have documented the spinal cord pathology in a case of angiographically or pathologically proven SDAVF. We report such a patient in whom a spinal cord biopsy supported increased venous pressure as a mechanism of neurologic dysfunction.


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