May 01
History (HX):
Progressive lower extremity weakness
Male 36 yr
Findings:
Sagital T2WI show multiple small flow void, along the dorsal surface of cord related to enlarged pial veins, on post-contrast images these show mild enhancement. No abnormal signal within the cord to suggest venous hypertensive myelopathy.
Diagnostic (DX):
Spinal Dural Arteriovenous Fistula (SDAVF)
Discussion:
The most common spinal vascular malformation. These are AV shunts that occur within the dural corening of the spinal cord



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