A rare case of two separate spinal dural arteriovenous fistulae (DAVFs) occurring concurrently in a patient with a rapidly progressive myelopathy is reported. Although concurrent spinal DAVFs may be "well known," their occurrence has been only anec dotally reported. To the authors' knowledge, this well documented case of a presumably rare variant of spinal DAVFs is the first to appear in the literature and is instructive for reconsidering approaches to optimal diagnosis and evaluation of posttherapeutic efficacy of these lesions.
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References
1.
Merland JJ, Riche MC, Chiras J.: Intraspinal extramedullary arteriovenous fistulae draining into the medullary veins. J Neuroradiol7:271-320, 1980.
2.
Oldfield EH, Di Chiro G., Quindlen EA, et al: Successful treatment of a group of spinal cord arteriovenous malformations by interruption of dural fistula. J Neurosurg59:1019-1030, 1983.
3.
Rosenblum B. , Oldfield EH, Doppman JL, et al: Spinal arteriovenous malformations: A comparison of dural arteriovenous fistulas and intradural AVM's in 81 patients . J Neurosurg67:795-802, 1987.
4.
Symon L., Kuyama H., Kendall B.: Dural arteriovenous malformations of the spine. Clinical features and surgical results in 55 cases. J Neurosurg60:238-247, 1984.
5.
Gobin YP: Endovascular therapy of spinal dural arteriovenous fistulae. Semin Intervent Radiol, 1993 (in press).
6.
Merland JJ, Assouline E., Rufenacht D., et al: Dural spinal arteriovenous fistulae draining into medullary veins. Clinical and radiological results of treatment (embolization and surgery) in 56 cases. In: Neuroradiology 1985/1986, ed. by Valk J.Amsterdam: Elsevier, 1986, pp 283-289.
7.
Mourier KL, Gelbert F., Rey A., et al: Spinal dural arteriovenous malformations with perimedullary drainage . Acta Neurochir (Wien)100:136-141, 1989.
8.
Yamada H., Muramatsu S., Nishizawa M., et al: [A case of cervical dural arteriovenous malformation showing the dumbbell type growth]. Rinsho Shinkeigaku31:1039-1042, 1991.
9.
Riche MC, Reizine D., Melki JP, et al: Classification of spinal cord vascular malformations. Radiat Med3:17-24, 1985.
10.
Willinsky R. , Lasjaunias P., Terbrugge K., et al: Angiography in the investigation of spinal dural arteriovenous fistula. A protocol with application of the venous phase. Neuroradiol32:114-116, 1990.
11.
Morgan MK, Marsh WR: Management of spinal dural arteriovenous malformations. J Neurosurg70:832-836, 1989.
12.
Rodesch G., Berenstein A., Lasjaunias P.: Vasculature and vascular lesions of the spine and spinal cord. In: Imaging of the Spine and Spinal Cord, ed. by Manelfe C.New York: Raven Press , 1992, pp 588-590.
13.
Larsson EM, Desai P., Hardin CW, et al: Venous infarction of the spinal cord resulting from dural arteriovenous fistula: MR imaging findings. AJNR12:739-743, 1991.
Barth MO, Chiras J., Rose M., et al: Resultat de l'embolisation des fistules arterio-veineuses durales rachidiennes a drainage veineux peri-medullaire. Neurochir30:381-386, 1984.
16.
Masaryk TJ, Ross JS, Modic MT, et al: Radiculomeningeal vascular malformations of the spine: MR imaging . Radiology164:845-849, 1987.
17.
Minami S., Sagoh T., Nishimura K., et al: Spinal arteriovenous malformation: MR imaging. Radiology169:109-115, 1988.
18.
Casasco AE, Houdart E., Gobin YP, et al: Embolization of spinal vascular malformations. In: Interventional Neuroradiology; Neuroimaging Clinics of North America 1992 , ed. by Vinuela F, Dion J, Duckwiler G. 2:337-358.
