KMID : 0388720060130010059
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Journal of Korean Society of Spine Surgery 2006 Volume.13 No. 1 p.59 ~ p.63
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Epidural Arteriovenous Fistula in the Cervical Spine Associated with Unilateral Upper Extremity Pain: A Case Report
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Chae Jong-Woo
Chang Han Moon Myung-Sang Nam Ho-Jin
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Abstract
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We experienced a rare case of an epidural arteriovenous fistula, which presented with symptoms similar to those of cervical radiculopathy. An 18-years-old woman suffered from neck pain, which radiated to the left upper extremity for 4 months. On neurologic examination, there were sensory impairments of the left C4 to C8 dermatomes and intermittent weakness in both lower extremities after exercise. An MRI of the cervical spine demonstrated a mass, which produced a serpentine-like signal void within the spinal canal from C1 to C7. The feeding artery of the fistula and the arterialized epidural venous plexus within the spinal canal were found on vertebral angiography. One year after an endovascular embolization with platinum coils, the clinical symptoms resolved and complete resolution of the arteriovenous fistula was confirmed by angiogram and MRI scan.
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KEYWORD
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Epidural Arteriovenous Fistula, Endovascular Embolization
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