Cervical Dural Arteriovenous Malformation Presenting With Right-Sided Occipitalgia: Before and After Successful Treatment by Embolization
- Resource Type
- Authors
- Hitomi Nishioka; Hiroyuki Matsumoto; Tomihiro Imai; Susumu Chiba; Masaki Saitoh; Sumiyoshi Tanabe
- Source
- Headache: The Journal of Head and Face Pain. 34:234-236
- Subject
- Male
medicine.medical_specialty
medicine.medical_treatment
Arteriovenous Malformations
medicine.artery
medicine
Humans
Embolization
business.industry
Angiography
Headache
Arteriovenous malformation
Middle Aged
Right-Sided
medicine.disease
Embolization, Therapeutic
Magnetic Resonance Imaging
Mr imaging
Surgery
Neurology
Neurologic examinations
Dura Mater
Occipital Lobe
Neurology (clinical)
Ascending cervical artery
business
Neck
- Language
- ISSN
- 1526-4610
0017-8748
We report a 52-year-old man who had a 2-year history of right-sided occipitalgia. His pain was induced by anteroflexion of the neck. Neurologic examinations showed mild right C2 and C3 root signs. Cervical MR imaging disclosed an extra-medullary intradural crooked shadow at the level between C2 and C3 vertebrae, which was proven by selective angiogram of the ascending cervical artery to be a dural arteriovenous malformation located in the right C3 root sleeve. Embolization by an endovascular approach resulted in angiographic and clinical cure. These findings indicate that headache due to arteriovenous malformation in upper cervical region may be surgically treatable.