PT - JOURNAL ARTICLE AU - Gowri A Peethambar AU - Daniel H Whittam AU - Saif Huda AU - Sundus Alusi AU - Mani Puthuran AU - Arun Chandran AU - Paul R Eldridge AU - Anu Jacob TI - Intracranial dural arteriovenous fistula mistaken as cervical transverse myelitis AID - 10.1136/practneurol-2018-002091 DP - 2019 Jun 01 TA - Practical Neurology PG - 264--267 VI - 19 IP - 3 4099 - http://pn.bmj.com/content/19/3/264.short 4100 - http://pn.bmj.com/content/19/3/264.full SO - Pract Neurol2019 Jun 01; 19 AB - We describe a man with an intracranial dural arteriovenous fistula that presented as a subacute longitudinally extensive cervical myelopathy. The uncommon location of the fistula and the absence of specific radiological signs resulted in initial misdiagnosis as longitudinally extensive transverse myelitis. Neurologists should have a high index of suspicion for dural arteriovenous fistula in older men, especially those with subacute or chronic symptoms, acellular cerebrospinal fluid and, particularly, if there is neurological deterioration soon after corticosteroid treatment. Patients need early angiography to identify this treatable cause of myelopathy.