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A 48-year-old male with progressive congestive myelopathy had a craniocvervical DAVF treated with surgical clipping using ICG to confirm solitary inflow.
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http://dx.doi.org/10.1016/j.jocn.2023.11.017 | DOI Listing |
J Craniofac Surg
July 2025
Weifang People's Hospital, Shandong Second Medical University.
Spinal dural arteriovenous fistula (SDAVF) is a common spinal vascular malformation predominantly occurring in the thoracolumbar region, and craniocervical junction SDAVF (CCJ-SDAVF) is rare. Endovascular interventional embolization and surgical severance of the fistula are the mainstay of treatment for this condition. We report a patient with acute subarachnoid hemorrhage (SAH) secondary to CCJ-SDAVF.
View Article and Find Full Text PDFInterv Neuroradiol
July 2025
School of Medicine, New York Medical College, Valhalla, NY, USA.
BackgroundSpinal dural arteriovenous fistulas (SDAVFs) are the most common type of spinal arteriovenous malformation. Typically, these malformations present with a wide range of nonspecific symptoms indicative of thoracolumbar myelopathy. However, patients with spinal dural arteriovenous fistulas may rarely present with subarachnoid hemorrhage.
View Article and Find Full Text PDFWorld Neurosurg
June 2025
Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA; Semmes Murphey Clinic, Memphis, Tennessee, USA. Electronic address:
Intracranial epidermoid cysts are rare, benign lesions accounting for 1% of intracranial tumors. They may arise from misplaced squamous epithelium during neural tube closure, and are found in the paramedian position, cerebellopontine angle, or parasellar region with other locations considered rare. The far lateral approach and its extensions enables access and visualization of ventral and ventrolateral lesions at the craniocervical junction without retraction.
View Article and Find Full Text PDFRadiol Case Rep
August 2025
Department of Neurological Surgery, Chiba University Graduate School of Medicine, Chiba, Chiba Prefecture, Japan.
Intracranial dural arteriovenous fistulas (DAVFs) with drainage into the perimedullary veins have been reported to cause brainstem and spinal hemorrhages, subarachnoid hemorrhages, and progressive myelopathy. However, there have been no reports of craniocervical junction arteriovenous fistulas (CCJ-AVFs) complicated by lateral medullary syndrome (LMS) and subsequently treated. We present a case successfully treated with transvenous and transarterial embolization.
View Article and Find Full Text PDFSurg Neurol Int
May 2025
Department of Neurosurgery, Nucleo Oscar Freire, Salvador, São Paulo, Brazil.
Background: Hypertrophic pachymeningitis (HP) is a rare neurological disorder characterized by dural thickening. Here, we discuss the diagnosis and surgical management of a 38-year-old whose myelopathy was attributed to dorsally compressive HP extending from the lower cerebellar fossa to C3.
Case Description: A 38-year-old male with Sjögren's syndrome presented with cervical pain, upper limb paresis, dysphagia, and left-sided tongue/palate paralysis.