Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Spinal Dural Arteriovenous Fistula: Imaging Features and Its Mimics

  • Jeng, Ying (Department of Radiology, Taipei Medical University-Shuang Ho Hospital) ;
  • Chen, David Yen-Ting (Department of Radiology, Taipei Medical University-Shuang Ho Hospital) ;
  • Hsu, Hui-Ling (Department of Radiology, Taipei Medical University-Shuang Ho Hospital) ;
  • Huang, Yen-Lin (Department of Radiology, Taipei Medical University-Shuang Ho Hospital) ;
  • Chen, Chi-Jen (Department of Radiology, Taipei Medical University-Shuang Ho Hospital) ;
  • Tseng, Ying-Chi (Department of Radiology, Taipei Medical University-Shuang Ho Hospital)
  • Received : 2015.01.30
  • Accepted : 2015.06.17
  • Published : 2015.09.01
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Abstract

Spinal dural arteriovenous fistula (SDAVF) is the most common spinal vascular malformation, however it is still rare and underdiagnosed. Magnetic resonance imaging findings such as spinal cord edema and dilated and tortuous perimedullary veins play a pivotal role in the confirmation of the diagnosis. However, spinal angiography remains the gold standard in the diagnosis of SDAVF. Classic angiographic findings of SDAVF are early filling of radicular veins, delayed venous return, and an extensive network of dilated perimedullary venous plexus. A series of angiograms of SDAVF at different locations along the spinal column, and mimics of serpentine perimedullary venous plexus on MR images, are demonstrated. Thorough knowledge of SDAVF aids correct diagnosis and prevents irreversible complications.

Keywords

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