Intramedullary feeder aneurysm of a cervical epidural arteriovenous fistula causing myelopathy: a case report and literature review.

Bibliographic Details
Title: Intramedullary feeder aneurysm of a cervical epidural arteriovenous fistula causing myelopathy: a case report and literature review.
Authors: Hashikata, Hirokuni, Goto, Masanori, Maki, Yoshinori, Nishida, Namiko, Ando, Mitsushige, Ishibashi, Ryota, Toda, Hiroki, Iwasaki, Koichi
Source: Acta Neurochirurgica; Dec2023, Vol. 165 Issue 12, p3985-3990, 6p
Subject Terms: ARTERIOVENOUS fistula, SPINAL cord diseases, ANEURYSMS, CRANIOVERTEBRAL junction, CERVICAL spondylotic myelopathy
Abstract: While a craniocervical junction (CCJ) epidural arteriovenous fistula (EDAVF) may present with hemorrhagic myelopathy from an associated feeder aneurysm on rare occasions, non-hemorrhagic myelopathy from such an aneurysm remains unreported. A woman in her late sixties presented with cervical myelopathy due to a non-hemorrhagic intramedullary aneurysm associated with CCJ-EDAVF. The intramedullary aneurysm originated from the spinal pial artery supplied by the anterior spinal artery. Direct surgical fistula coagulation and feeder obliteration resulted in the disappearance of the aneurysm and myelopathy improvement. This report illustrates the first case of a non-hemorrhagic intramedullary aneurysm associated with CCJ-EDAVF successfully treated with direct surgery. [ABSTRACT FROM AUTHOR]
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  Data: Intramedullary feeder aneurysm of a cervical epidural arteriovenous fistula causing myelopathy: a case report and literature review.
– Name: Author
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  Data: <searchLink fieldCode="AR" term="%22Hashikata%2C+Hirokuni%22">Hashikata, Hirokuni</searchLink><br /><searchLink fieldCode="AR" term="%22Goto%2C+Masanori%22">Goto, Masanori</searchLink><br /><searchLink fieldCode="AR" term="%22Maki%2C+Yoshinori%22">Maki, Yoshinori</searchLink><br /><searchLink fieldCode="AR" term="%22Nishida%2C+Namiko%22">Nishida, Namiko</searchLink><br /><searchLink fieldCode="AR" term="%22Ando%2C+Mitsushige%22">Ando, Mitsushige</searchLink><br /><searchLink fieldCode="AR" term="%22Ishibashi%2C+Ryota%22">Ishibashi, Ryota</searchLink><br /><searchLink fieldCode="AR" term="%22Toda%2C+Hiroki%22">Toda, Hiroki</searchLink><br /><searchLink fieldCode="AR" term="%22Iwasaki%2C+Koichi%22">Iwasaki, Koichi</searchLink>
– Name: TitleSource
  Label: Source
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  Data: Acta Neurochirurgica; Dec2023, Vol. 165 Issue 12, p3985-3990, 6p
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22ARTERIOVENOUS+fistula%22">ARTERIOVENOUS fistula</searchLink><br /><searchLink fieldCode="DE" term="%22SPINAL+cord+diseases%22">SPINAL cord diseases</searchLink><br /><searchLink fieldCode="DE" term="%22ANEURYSMS%22">ANEURYSMS</searchLink><br /><searchLink fieldCode="DE" term="%22CRANIOVERTEBRAL+junction%22">CRANIOVERTEBRAL junction</searchLink><br /><searchLink fieldCode="DE" term="%22CERVICAL+spondylotic+myelopathy%22">CERVICAL spondylotic myelopathy</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: While a craniocervical junction (CCJ) epidural arteriovenous fistula (EDAVF) may present with hemorrhagic myelopathy from an associated feeder aneurysm on rare occasions, non-hemorrhagic myelopathy from such an aneurysm remains unreported. A woman in her late sixties presented with cervical myelopathy due to a non-hemorrhagic intramedullary aneurysm associated with CCJ-EDAVF. The intramedullary aneurysm originated from the spinal pial artery supplied by the anterior spinal artery. Direct surgical fistula coagulation and feeder obliteration resulted in the disappearance of the aneurysm and myelopathy improvement. This report illustrates the first case of a non-hemorrhagic intramedullary aneurysm associated with CCJ-EDAVF successfully treated with direct surgery. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Acta Neurochirurgica is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00701-023-05578-7
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        Text: English
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      – SubjectFull: ARTERIOVENOUS fistula
        Type: general
      – SubjectFull: SPINAL cord diseases
        Type: general
      – SubjectFull: ANEURYSMS
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      – SubjectFull: CRANIOVERTEBRAL junction
        Type: general
      – SubjectFull: CERVICAL spondylotic myelopathy
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      – TitleFull: Intramedullary feeder aneurysm of a cervical epidural arteriovenous fistula causing myelopathy: a case report and literature review.
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              M: 12
              Text: Dec2023
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