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Reversible brainstem dysfunction from spinal arterio-venous fistula

Willis, Mark, Amato-Watkins, T., Zaben, M., Baig, A., Corkill, R. and Joshi, Y. 2014. Reversible brainstem dysfunction from spinal arterio-venous fistula. Practical Neurology 14 (6) , pp. 425-428. 10.1136/practneurol-2014-000872

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Abstract

A 45-year-old man presented with subacute onset of ataxia, diplopia, urinary retention and paraparesis. MR scan of brain showed abnormal T2 hyperintense signal within the cervical cord, medulla and lower pons and vascular appearances suggesting an arterio-venous fistula. The fistula was surgically explored and successfully disconnected with good clinical outcome. Brainstem or cervical dural arterio-venous fistulae more typically present as a myelopathy; only a handful of cases have presented with brainstem dysfunction. This is a rare but reversible cause of subacute brainstem dysfunction.

Item Type: Article
Date Type: Published Online
Status: Published
Schools: Medicine
MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Publisher: BMJ Publishing Group
ISSN: 1474-7758
Last Modified: 07 Feb 2019 11:38
URI: http://orca.cf.ac.uk/id/eprint/88648

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