{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T04:01:17Z","timestamp":1745812877159,"version":"3.40.4"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 22\u2005-year-old man presented with 6\u2005months of sudden onset, incapacitating, left-sided chest pain occurring 1\u20132 times a week. The severity of the pain caused loss of consciousness several times leading to multiple fractures. Investigation with echocardiogram, exercise tolerance test, Holter monitor, chest X-ray and V\/Q scan revealed no abnormality as did EEG and 48\u2005h video telemetry. MRI of the thoracic and lumbar spine showed a spinal dural arteriovenous fistula (SDAVF) at the level of T6, confirmed on angiogram. The patient underwent division of the left T6 AV fistula. Following the operation, the patient has been completely pain free. Our patient, presenting in his early 20s does not fit the usual age demographic for SDAVF. A second atypical feature is his presentation with chest pain alone and no neurological symptoms. This case represents a rare presentation of SDAVF.<\/jats:p>","DOI":"10.1136\/bcr-2013-202038","type":"journal-article","created":{"date-parts":[[2014,2,14]],"date-time":"2014-02-14T11:18:06Z","timestamp":1392376686000},"page":"bcr2013202038","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Spinal dural AV fistula: an unusual cause of chest pain"],"prefix":"10.1136","volume":"2014","author":[{"given":"Gabriel","family":"Bioh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Bogle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,2,14]]},"reference":[{"key":"2025042702392019000_2014.feb14_2.bcr2013202038.1","first-page":"1","article-title":"La myelite n\u00e9crotique subaigue: melite central angio-hypertrophique a evolution progressive: parapl\u00e9gie amyotrophique lentement accendante, d'abord spasmodique, puis 15 flasque, s'accompagnant de dissociation albumin-cytologique","volume":"33","author":"Foix","year":"1926","journal-title":"Rev Neurol (Paris)"},{"key":"2025042702392019000_2014.feb14_2.bcr2013202038.2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awl220"},{"key":"2025042702392019000_2014.feb14_2.bcr2013202038.3","doi-asserted-by":"publisher","DOI":"10.1016\/0022-510X(74)90229-9"},{"key":"2025042702392019000_2014.feb14_2.bcr2013202038.4","doi-asserted-by":"publisher","DOI":"10.1007\/BF00344211"},{"key":"2025042702392019000_2014.feb14_2.bcr2013202038.5","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000126878.95006.0F"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-202038","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:39:29Z","timestamp":1745746769000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-202038"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,2,14]]},"references-count":5,"alternative-id":["10.1136\/bcr-2013-202038"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-202038","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,2,14]]}}}