Abstract

BackgroundSpinal dural arteriovenous fistula (SDAVF) usually occurs during the 4th to 6th decades of life, and adolescent SDAVF is rarely reported. SDAVF arising around a tumor is also rare, and reported tumors are mostly schwannoma and lipoma.Case presentationWe reported a 16-year-old male presented with progressive weakness and numbness of lower limbs for 3 months. A SDAVF was found, which was fed by right radicular arteries from segmental artery at L2 level and drained retrogradely into perimedullary veins. A concomitant spinal extradural nodular fasciitis at right L1/L2 intervertebral foramen was also noted. The SDAVF was completely obliterated by endovascular treatment and the tumor was debulked. The patient recovered well after the procedures.ConclusionsOur case report suggests SDAVF can occur in adolescent. The concomitant presence with a nodular fasciitis indicates that although it usually arises in subcutaneous tissue but can rarely form on the dura of spine.

Highlights

  • Spinal dural arteriovenous fistula (SDAVF) usually occurs during the ­4th to ­6th decades of life, and ado‐ lescent SDAVF is rarely reported

  • Our case report suggests SDAVF can occur in adolescent

  • The concomitant presence with a nodular fasciitis indicates that it usually arises in subcutaneous tissue but can rarely form on the dura of spine

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Summary

Conclusions

Our case report suggests SDAVF can occur in adolescent. The concomitant presence with a nodular fasciitis indicates that it usually arises in subcutaneous tissue but can rarely form on the dura of spine.

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