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J Korean Neurol Assoc. 1999;17(3):447-451.
A Case of Myelopathy due to Spinal Dural Arteriovenous Fistula Supplied by Branches of the Internal Iliac Arteries
Il-Hyeong Lee, M.D., Jae-Chun Bae, M.D., Sang-Moo Lee, M.D., Jin-Hyuk Kim, M.D., Ki-Han Kwon,M.D., Byung-Chul Lee, M.D.
Department of Neurology, Hallym Uniersity College of Medicine Okcheon-dong,Chuncheon, Kangwon-do,200-060,Korea
내측회장동맥에 의해 형성된 척수경막동정맥루로 인한 척수병증 1예
이일형, 배재천, 이상무, 김진혁, 권기한, 이병철
한림대학교 의과대학 신경과학교실
Abstract
Spinal dural arteriovenous fistulas are rare abnormal connections of artery and vein within the dura, at the level of the intervertebral foramen. A 57-year-old male developed weakness in both lower extremities and sphincteric dysfunction, which had stepwisely, progressive and fluctuating course since 6 months ago. He showed areflexia in both ankle & right knee. T-spine MRI showed high signal intensity with ill defined margin in T2WI and intensely enhanced by con-trast agent through lower thoracic and lumbosacral spinal cord. Selective spinal angiography revealed a dural arteriove-nous fistula with a nidus at thoracolumbar vertebral level, supplied by the internal iliac artery and enlarged medullary veins. Superselective angiographic embolization was done. Clinically, his symptoms has been ameliorated. We report a rare case of thoracic myelopathy due to spinal dural arteriovenous fistulas exclusively supplied by the branches of internal iliac artery. 내측회장동맥에 의해 형성된 척수경막동정맥루로 인한 척수병증 1예 J Kor Neurol Ass 17(3):447 ~ 451, 1999 Key Words : Spinal dural arteriovenous fistula, Myelopathy, Internal iliac artery

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