Editorial: Cranial arteriovenous fistulas and myelopathy

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In this issue of the Journal, Dr. Kim and associates2 present us with a very interesting case that, although not unique (several similar cases have been reported previously), is nevertheless very instructive. Their patient presented with quadriparesis that initially developed slowly with paresthesias of all 4 extremities for 6 months and progressive paraparesis during the 10 days prior to admission. Upon admission, however, the patient's condition deteriorated very rapidly and he became quadriplegic within 8 hours. Logically, these clinicians suspected cervical myelopathy due to demyelinating disease or a neoplasm. This clinical diagnosis was reinforced by a

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Please include this information when citing this paper: published online June 11, 2010; DOI: 10.3171/2010.3.JNS10360.

© AANS, except where prohibited by US copyright law.

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1

Cognard CGobin YPPeirot LBailly ALHoudart ECasasco A: Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology 194:6716801995

2

Kim NHCho KTSeo HS: Myelopathy due to intracranial dural arteriovenous fistula: a potential diagnostic pitfall. Case report. J Neurosurg [epub ahead of print June 11 2010. DOI: 10.3171/2010.5.JNS10128]

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