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Rare disease
Intracranial dural arterio-venous fistula presenting with progressive myelopathy
  1. Ebere Sunny Ogbonnaya1,
  2. Irfan Yousaf1,
  3. Taufiq Mohammed Sattar2
  1. 1Neurosurgery Department, Cork University Hospital, Cork, Ireland
  2. 2Neurosurgery Department, Beaumont Hospital, Dublin, Ireland
  1. Correspondence to Dr Ebere Sunny Ogbonnaya, eskay0177{at}


Spinal dural arterio-venous fistula (DAVF) is rare and usually involves the thoracic segments. The classical presentation is a slowly progressive ataxia. Clinical presentation of intracranial DAVF depends on the site of the DAVF, as well as the vessels involved. Patients may present with pulsatile tinnitus, occipital bruit, headache, dementia, visual impairment as well as neurological deterioration distant from the DAVF as a result of venous hypertension and cortical haemorrhage. The authors present a rare case of progressive myelopathy secondary to an intracranial DAVF.

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  • Competing interests None.

  • Patient consent Obtained.

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