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Enhanced Magnetic Resonance Angiography of a Spinal Dural Arteriovenous Fistula
Arch Neurol. 2002;59:1185.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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NONINVASIVE characterization of spinal dural arteriovenous fistula is
essential for guiding clinical management.
A 72-year-old woman was admitted to our hospital because of rapidly
progressive paraplegia and sphincteric disturbances. T2-weighted magnetic
resonance imaging showed intramedullary high-intensity areas. First-pass,
contrast-enhanced 3-dimensional magnetic resonance angiography with short
acquisition time demonstrated the enlarged draining medullary vein, providing
correct localization (Figure 1,
A). Subsequesnt conventional angiography results confirmed the diagnosis (Figure 1, B).
Figure appears in full text version.
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A, The enlarged draining posterior median vein was demonstrated with
contrast-enhanced magnetic resonance angiography (white arrowheads). B, Digital-subtraction
angiography of selective catheterization of the lumbar artery at the L2 level
shows the radicular artery and enlarged drainer (black arrowheads).
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Fast 3-dimensional contrast-enhanced magnetic resonance angiography
is a noninvasive technique with high accuracy in the characterization of spinal
dural arteriovenous fistula.1 Visibility of
the draining vein corresponds well with that of digital subtraction angiography,
facilitating the management of . . . [Full Text of this Article]
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