Evidence map›Paper›PMID 42181467›Full record

ArticleCureus2026

A Case of Spinal Epidural Arteriovenous Fistula With Congestive Myelopathy: Diagnostic Value of Time-Resolved Magnetic Resonance Angiography.

Keita Nagawa, Hirokazu Shimizu, Shinji Kakemoto, Iichiro Osawa, Eito Kozawa

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Keita NagawaRadiology, Saitama Medical University Hospital, Saitama, JPN.
Hirokazu ShimizuRadiology, Saitama Medical University Hospital, Saitama, JPN.
Shinji KakemotoRadiology, Saitama Medical University Hospital, Saitama, JPN.
Iichiro OsawaRadiology, Saitama Medical University Hospital, Saitama, JPN.
Eito KozawaRadiology, Saitama Medical University Hospital, Saitama, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinal epidural arteriovenous fistulas (SEAVFs) are rare types of spinal arteriovenous fistulas consisting of a connection between a distal branch of the spinal arteries and the epidural venous plexus. These fistulas cause venous engorgement, and reflux into perimedullary veins leads to spinal congestive myelopathy. The common and less invasive method to identify spinal arteriovenous fistulas is magnetic resonance angiography (MRA), and especially time-resolved MRA (TR-MRA) is desirable because it can achieve a high enough temporal resolution to image the flow dynamics of the shunt and associated vessels. Due to the rarity of the disease, the effectiveness of TR-MRA in diagnosing SEAVFs has not been well reported. In our case, a 74-year-old female patient presented with a one-week history of progressive gait disturbance and urinary incontinence. Magnetic resonance T2-weighted images of the thoracolumbar spine revealed an intramedullary hyperintensity signal area in the spinal cord with slight perimedullary flow voids. The arterial phase of TR-MRA showed an enlarged epidural venous pouch and a refluxing radicular vein supplied by branches from the right segmental arteries of T12 and L1. These findings led to the correct diagnosis of SEAVF with congestive myelopathy. The presence of arterialized epidural venous pouches is a decisive finding of SEAVFs. Our case suggests that TR-MRA can visualize these arterialized fistulas and contribute to the diagnosis of SEAVFs.

Indexed as

epidural venous plexusselective catheter spinal angiographyspinal congestive myelopathyspinal epidural arteriovenous fistulatime-resolved magnetic resonance angiography

Identifiers

PMID42181467
PMCPMC13193272

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.