RT Journal Article
SR Electronic
T1 Intracranial dural arteriovenous fistula mistaken as cervical transverse myelitis
JF Practical Neurology
JO Pract Neurol
FD BMJ Publishing Group Ltd
SP 264
OP 267
DO 10.1136/practneurol-2018-002091
VO 19
IS 3
A1 Peethambar, Gowri A
A1 Whittam, Daniel H
A1 Huda, Saif
A1 Alusi, Sundus
A1 Puthuran, Mani
A1 Chandran, Arun
A1 Eldridge, Paul R
A1 Jacob, Anu
YR 2019
UL http://pn.bmj.com/content/19/3/264.abstract
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.