Tentorial Dural Arteriovenous Fistula Presenting With Progressive
Encephalomyelopathy

J Korean Neurol Assoc > Volume 31(4); 2013 > Article

Journal of the Korean Neurological Association 2013;31(4): 277-281.

진행뇌척수병증을 보인 천막경막동정맥루

우성민, 이영욱 이병찬 장혁원 a 손성일

계명대학교 의과대학 신경과학교실, 영상의학교실 a

Tentorial Dural Arteriovenous Fistula Presenting With Progressive Encephalomyelopathy

Seong-Min Woo

Department of Neurology and Radiology , Keimyung University School of Medicine, Daegu, Korea

Abstract

A 68-year-old man developed mild quadriparesis 1 month prior to presentation. At 4 days before presentation, he developed dysarthria and more severe quadriparesis, predominantly on the left side of the body. MRI revealed edematous lesions in the medulla and throughout the spinal cord. Angiography showed a right tentorial dural arteriovenous fistula (DAVF). Despite successful treatment achieved by endovascular embolization, there was no improvement in the weakness of either leg. Early diagnosis of tentorial DAVF is important to prevent neurological complications such as encephalomyelopathy and hemorrhage. Key Words: Encephalomyelopathy, Dural arteriovenous fistula, Embolization