Cervical dural arteriovenous malformation and large epidural venous varices in a rare adult presentation of congenital vascular bone syndrome

Clin Imaging. 2015 Jul-Aug;39(4):677-81. doi: 10.1016/j.clinimag.2015.01.012. Epub 2015 Jan 20.

Abstract

61-year-old male presented with shortness of breath and chest pain. Workup for acute myocardial infarction was negative; however, computed tomography angiography visualized what a vascular malformation within the cervical spinal canal. Given the patient's history of Servelle-Martorell syndrome, neurovascular imaging was performed. We present the unique vascular findings of a right thyrocervical trunk-based dural arteriovenous malformation (dAVM) and a large epidural venous varix. The cervical dAVM induced intervertebral foraminal widening and polyradiculopathy, representing a rare adult case of congenital vascular bone syndrome.

Keywords: Cervical dural AV malformation; Congenital vascular bone syndrome; Klippel–Trenaunay syndrome; Servelle–Martorell syndrome; Venous varices.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Arteriovenous Malformations / complications
  • Arteriovenous Malformations / diagnostic imaging*
  • Bone Diseases / complications
  • Bone Diseases / diagnostic imaging*
  • Central Nervous System Vascular Malformations / complications
  • Central Nervous System Vascular Malformations / diagnostic imaging*
  • Cervical Vertebrae / diagnostic imaging
  • Humans
  • Male
  • Middle Aged
  • Syndrome
  • Varicose Veins / complications
  • Varicose Veins / diagnostic imaging*