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NEUROLOGY 2004;62:1839-1841
© 2004 American Academy of Neurology
Brief Communications

Spinal dural arteriovenous fistulas

Long-term follow-up of 44 treated patients K. Jellema, MD, C. C. Tijssen, MD PhD, W. J.J. van Rooij, MD PhD, M. Sluzewski, MD PhD, P. J. Koudstaal, MD PhD, A. Algra, MD and J. van Gijn, MD FRCP

From the Departments of Neurology (Drs. Jellema and Tijssen) and Neuroradiology (Drs. van Rooij and Sluzewski), St. Elisabeth Hospital Tilburg; Department of Neurology (Dr. Koudstaal), Erasmus Medical Center Rotterdam; and Department of Neurology (Drs. Algra and van Gijn) and Julius Center for Health Sciences and Primary Care (Dr. Algra), University Medical Center Utrecht, The Netherlands.

Address correspondence and reprint requests to Dr. K. Jellema, St. Elisabeth Ziekenhuis, P.O. Box 90151, 5000 LC Tilburg, The Netherlands; e-mail: K.Jellema{at}elisabeth.nl

To assess the long-term clinical course of 44 patients treated for a spinal dural arteriovenous fistula, patients were re-examined after a median follow-up of 5.7 years. In total, 70% of patients rated their activities of daily life as better or much better than before treatment. In most patients, gait disturbances and muscle strength had improved after treatment, with reduced disability; problems with micturition, defecation, and erection tended to remain unchanged.

Received September 17, 2003. Accepted in final form February 12, 2004.




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