A Case of Spinal Dural Arteriovenous Fistula diagnosed as Transverse Myelitis

J Korean Neurol Assoc > Volume 23(5); 2005 > Article

Journal of the Korean Neurological Association 2005;23(5): 694-696.

횡단성척수염으로 진단되었던 척수 경막 동정맥루 1예

한광수, 고성호 김현영 김희태 김승현 김주한 서대철

한양대학교 의과대학 신경과학교실, 울산대학교 의과대학 방사선과학교실a

A Case of Spinal Dural Arteriovenous Fistula diagnosed as Transverse Myelitis

Gwangsu Han

Department of Neurology, Hanyang University Collage of Medicine, Seoul; Department of Radiology, University of Ulsan Collage of Medicinea, Seoul, Korea

Abstract

A case was presented of a 41-year-old male with progressive claudication and numbness in the lower extremities. A MRI showed swelling of the spinal cord with an intramedullary high signal intensity on a T2-weighted image. The patient was diagnosed with transverse myelitis and was started on intravenous steroids. However, there were no significant effects with the steroid treatment. An angiography showed a spinal dural arteriovenous fistula fed by a T11 radicular artery. An endovascular embolization was performed and the claudication and numbness were improved. We report a case of spinal dural arteriovenous fistula misdiagnosed as transverse myelitis. KeyWords:Spinal dural arteriovenous fistula, Transverse myelitis