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  • Title: Spinal dural arteriovenous fistula: the pathology of venous hypertensive myelopathy.
    Author: Hurst RW, Kenyon LC, Lavi E, Raps EC, Marcotte P.
    Journal: Neurology; 1995 Jul; 45(7):1309-13. PubMed ID: 7617189.
    Abstract:
    Spinal dural arteriovenous fistulas (SDAVFs) are the most common type of spinal vascular malformation. The arteriovenous shunts, located entirely outside the spinal cord, cause a clinical picture of chronic progressive myelopathy believed to arise from the effects of increased venous pressure and impaired venous drainage on the spinal cord. Despite their well-described clinical and angiographic features, no reports have documented the spinal cord pathology in a case of angiographically or pathologically proven SDAVF. We report such a patient in whom a spinal cord biopsy supported increased venous pressure as a mechanism of neurologic dysfunction.
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