ArticleJournal of clinical medicine2024
Delayed Diagnosis of Spinal Dural Arteriovenous Fistula: A Case Report and Scoping Review.
Article in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 8 citations in OpenAlex.
- Multidisciplinary Management of Spinal Dural Arteriovenous Fistulas Using an Endovascular-First Treatment Strategy: A Nine-Year Single-Center Experience.Neurology international · 2026Article
- Multimodal MRI features of spinal perimedullary versus dural arteriovenous fistulas: an exploratory analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Unilateral neurodeficit before epidural dose: Differential diagnosis and management.Indian journal of anaesthesia · 2026Article
- Spinal dural arteriovenous fistula presenting with lower extremity weakness and intracranial hemorrhage: A case report.Radiology case reports · 2026Article
- Clinical, radiological, and CSF features distinguishing spinal dural arteriovenous fistula from idiopathic transverse myelitis and seropositive NMOSD-/MOGAD-associated myelopathy: a retrospective observational study.Scientific reports · 2026Observational
- Deep learning for fast screening and localization of spinal dural arteriovenous fistulas to enhance clinical workflow.NPJ digital medicine · 2026Article
- Spinal dural arteriovenous fistula masquerading as infiltrative intramedullary spinal cord tumor: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Case Report: Diagnostic anchoring in spinal dural arteriovenous fistula: a case-based analysis of clinical-radiological mismatch and delayed recognition.Frontiers in medicine · 2026Article
- Acute onset of spinal dural arteriovenous fistula and rapid progression to complete paraplegia: a case report and review of the literature.Journal of medical case reports · 2025Review
- Venous Congestive Myelopathy and Secondary Infarction: A Delayed Diagnosis of Spinal Dural Arteriovenous Fistula.Cureus · 2025Article
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Spinal dural arteriovenous fistula (SDAVF) is among the most common arterial shunt diseases typically found in middle aged or older men. Herein, we aimed to clarify the reasons for misdiagnoses and delayed diagnoses of SDAVF, determine how these affect prognoses, and establish how they can be prevented. We conducted a PubMed/MEDLINE literature search using "spinal dural arteriovenous fistula", "delayed diagnosis", "late diagnosis", and "misdiagnosis" terms. We identified 18 articles, including 965 SDAVF cases. Patients were predominantly males (71.8-100.0%) (mean age: 53.5-71.0 years). Misdiagnoses rates varied (17.5-100.0%) and encompassed many conditions. The mean time between early manifestations and confirmed diagnosis was approximately 10-15 months and from the first radiologic image revealing dural arteriovenous fistula (DAVF) features to diagnosis was 9.2-20.7 months. Posttreatment outcomes showed a significant improvement in motor functions, gait, and micturition, particularly in patients exhibiting preoperative symptoms over a short period. SDAVF is frequently misdiagnosed or subject to delayed diagnosis, causing poor clinical outcomes. SDAVF symptoms including progressive lower-limb weakness, paresthesia, and vesicorectal dysfunction are indications for spinal magnetic resonance imaging with subsequent spinal angiography, wherein DAVF is evidenced by extensive T2 hyperintensity and flow-void abnormalities. We reported a representative case with delayed diagnosis.
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