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Unusual case of intracranial dural AV fistula presenting with acute myelopathy
  1. Mohamed Abdelsadg1,
  2. Avinash Kumar Kanodia2,
  3. Peter Keston3,
  4. James Galea1
  1. 1Department of Neurosurgery, Ninewells Hospital, Dundee, UK
  2. 2Department of Radiology, Ninewells Hospital, Dundee, UK
  3. 3Department of Neuroradiology, Western General Hospital, Edinburgh, UK
  1. Correspondence to Dr Avinash Kumar Kanodia, avinash.kanodia{at}


We present a case of intracranial arteriovenous fistula with perimedullary venous drainage presenting with acute myelopathy, which is an unusual presentation of this uncommon condition. Subsequent catheter angiogram defined the arterial feeders from the meningohypophyseal trunk and petrosal branch of the middle meningeal artery. The patient was successfully embolised, resulting in complete obliteration of the fistula, and significant resolution of brainstem and cervical cord changes along with clinical improvement.

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