Spinal dural arteriovenous fistula

Case contributed by Assoc Prof Frank Gaillard


Painful gradual onset Brown-Sequard syndrome.

Patient Data

Age: 60 years
Gender: Female

The lower half of the thoracic cord demonstrates extensive central cord high T2 signal. On the dorsal surface of the cord numerous flow voids are noted. 

DSA (angiography)

Selective injection of the left T6 intercostal demonstrates an arteriovenous fistula with in the T6/7 foramen with draining inferiorly along enlarged pial veins. 

Case Discussion

Typical appearances of a spinal dAVF. The clinical presentation is typically insidious and non-specific and the diagnosis is often not made for quite some time. Cord edema and sometimes enhancement should not be mistaken for a spinal cord tumor. 

PlayAdd to Share

Case information

rID: 19635
Published: 29th Sep 2012
Last edited: 14th Aug 2019
Tag: spine
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.