Intramedullary gadolinium-DTPA enhancement in a patient with cervical spondylotic myelopathy and an associated vascular lesion
書誌事項
- タイトル別名
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- Case report
説明
<jats:p>Intramedullary enhancement of the cervical spinal cord is rare in chronic compression disease. An accompanying vascular lesion should be considered in such a case.</jats:p> <jats:p>A 59-year-old man presented with severe cervical spondylotic myelopathy.</jats:p> <jats:p>Gadolinium-diethylenetriamine pentaacetic acid (Gd-DTPA) enhanced magnetic resonance imaging showed intramedullary enhancement at the C5`6 level, which was the most severely compressed level. A right ascending cervical arteriogram demonstrated a spinal arteriovenous fistula (AVF) fed mainly by the C-6 radicular artery and draining from the posterior medullary vein.</jats:p> <jats:p>Surgery was performed to decompress the myelopathy and to obliterate the AVF. Postoperative MR imaging with Gd-DTPA enhancement showed immediate and complete disappearance of the previous enhancement. The intramedullary enhancement presumably resulted from the intraparenchymal hemodynamics due to the AVF.</jats:p>
収録刊行物
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- Neurosurgical Focus
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Neurosurgical Focus 1 E5-, 1996-12-01
Journal of Neurosurgery Publishing Group (JNSPG)