Right Vertebral Artery Spontaneous AVF Mimicking as Spinal Extradural Tumour: A Case Report

  • Tania Taher Assistant Professor, HFRC Medical College Hospital, Dhaka
  • Kaisar Haroon Assistant Professor, Department of Neurosurgery, NINSH, Dhaka
  • Md Shafiul Alam Associate Professor, Department of Gamma Knife, NINSH, Dhaka
  • Abdullah Alamgir Associate Professor, Department of Gamma Knife, NINSH, Dhaka
  • Farid Raihan Resident, Department of Neurosurgery, NINSH, Dhaka
  • Arif Reza Medical Officer, Department of Neurosurgery, NINSH, Dhaka
  • Sk Sader Hossain Professor and Head, Department of Neurosurgery, NINSH, Dhaka
Keywords: AVM, Vertebral artery, cystic schwannoma, quadriparesis, Subclavian artery, AVF

Abstract

We report a case of a 20 years old female patient, who presented with the complaints of progressive quadriparesis which eventually led to quadriplegia. Her weakness started from the right side of the body and then to the left. Her MRI of the neck revealed an extradural lesion extending from the C2 up to C6 vertebral level. It had compressed the dural tube to the left. The lesion continued to the neck through the inervertebral foramen at C6. Her CT angiogram of the neck vessels showed an AVM arising from the right SCA and entering the Spinal canal at C6 level and draining into the right IJV at C2 level. She underwent surgery and the AVF was ligated at the origin. The AVM had collapsed. After 15 days following surgery, she had significant improvement of symptoms. After one and half months she could walk with support.

Bang. J Neurosurgery 2019; 9(1): 69-74

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Abstract
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Published
2019-08-30
How to Cite
Taher, T., Haroon, K., Alam, M. S., Alamgir, A., Raihan, F., Reza, A., & Hossain, S. S. (2019). Right Vertebral Artery Spontaneous AVF Mimicking as Spinal Extradural Tumour: A Case Report. Bangladesh Journal of Neurosurgery, 9(1), 69-74. https://doi.org/10.3329/bjns.v9i1.42928
Section
Case Reports