TY - JOUR T1 - Reversible brainstem dysfunction from spinal arterio-venous fistula JF - Practical Neurology JO - Pract Neurol SP - 425 LP - 428 DO - 10.1136/practneurol-2014-000872 VL - 14 IS - 6 AU - M D Willis AU - T Amato-Watkins AU - M Zaben AU - A Baig AU - R Corkill AU - Y Joshi Y1 - 2014/12/01 UR - http://pn.bmj.com/content/14/6/425.abstract N2 - A 45-year-old man presented with subacute onset of ataxia, diplopia, urinary retention and paraparesis. MR scan of brain showed abnormal T2 hyperintense signal within the cervical cord, medulla and lower pons and vascular appearances suggesting an arterio-venous fistula. The fistula was surgically explored and successfully disconnected with good clinical outcome. Brainstem or cervical dural arterio-venous fistulae more typically present as a myelopathy; only a handful of cases have presented with brainstem dysfunction. This is a rare but reversible cause of subacute brainstem dysfunction. ER -