{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T12:58:08Z","timestamp":1772715488835,"version":"3.50.1"},"reference-count":18,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T00:00:00Z","timestamp":1628553600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:p>Cervical spinal vascular abnormalities commonly present with progressive myelopathy as a result of venous congestion. They are not very prone to bleed and tend to be underdiagnosed due to their subtle clinical presentation. We came across a rare case of intracranial subarachnoid haemorrhage caused by cervical spinal dural fistula in the Imperial College Healthcare NHS Trust Hospitals\/UK in June 2020. We diagnosed the patient under strict evidence base medicine guidance, which otherwise would have been missed. We discussed the case in several multidisciplinary team (MDT) meetings, and patient was treated under the joint care of the neurology and neurosurgical teams. Patient made a full recovery and discharged home with no neurological defects or complications. Here, we reported this case with all the evidence we gathered from our MDT discussion. We hope our experience would help improve the diagnosis and management protocol for future patients with a similar condition.<\/jats:p>","DOI":"10.3389\/fneur.2021.685332","type":"journal-article","created":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T07:10:52Z","timestamp":1628579452000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Intracranial Subarachnoid Haemorrhage Caused by Cervical Spinal Dural Arteriovenous Fistulas: Case Report"],"prefix":"10.3389","volume":"12","author":[{"given":"Junjie","family":"Zhao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yagmur","family":"Esemen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Rane","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramesh","family":"Nair","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2021,8,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1177\/0003319717700503","article-title":"Current treatment strategies for intracranial aneurysms: an overview","author":"Zhao","year":"2017","journal-title":"Angiology."},{"key":"B2","doi-asserted-by":"publisher","first-page":"105371","DOI":"10.1016\/j.clineuro.2019.105371","article-title":"Intracranial subarachnoid hemorrhage resulting from non-cervical spinal arteriovenous lesions: analysis of possible cause of bleeding and literature review","volume":"184","author":"Yue","year":"2019","journal-title":"Clin Neurol Neurosurg."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1839","DOI":"10.3171\/2017.3.JNS163048","article-title":"Angioarchitecture of arteriovenous fistulas at the craniocervical junction: a multicenter cohort study of 54 patients","volume":"128","author":"Hiramatsu","year":"2018","journal-title":"J Neurosurg."},{"key":"B4","doi-asserted-by":"publisher","first-page":"E7","DOI":"10.3171\/foc.2006.20.5.8","article-title":"Spinal arteriovenous malformations: new classification and surgical treatment","volume":"20","author":"Zozulya","year":"2006","journal-title":"Neurosurg Focus."},{"key":"B5","doi-asserted-by":"publisher","first-page":"644","DOI":"10.1136\/neurintsurg-2017-013687","article-title":"Spinal artery aneurysms: clinical presentation, radiological findings and outcome","volume":"10","author":"Renieri","year":"2018","journal-title":"J Neurointerv Surg."},{"key":"B6","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1016\/B978-0-444-63640-9.00020-5","article-title":"Spinal subarachnoid hemorrhage and aneurysms","volume":"143","author":"Maiti","year":"2017","journal-title":"Handb Clin Neurol."},{"key":"B7","doi-asserted-by":"publisher","first-page":"e0174734","DOI":"10.1371\/journal.pone.0174734","article-title":"MRI-detection rate and incidence of lumbar bleeding sources in 190 patients with non-aneurysmal SAH","volume":"12","author":"Kashefiolasl","year":"2017","journal-title":"PLoS One."},{"key":"B8","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1159\/000346087","article-title":"European Stroke Organization guidelines for the management of intracranial aneurysms and subarachnoid haemorrhage","volume":"35","author":"Steiner","year":"2013","journal-title":"Cerebrovasc Dis."},{"key":"B9","doi-asserted-by":"publisher","first-page":"639","DOI":"10.3174\/ajnr.A1485","article-title":"Spinal dural arteriovenous fistulas","volume":"30","author":"Krings","year":"2009","journal-title":"AJNR Am J Neuroradiol."},{"key":"B10","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1016\/B978-0-444-63640-9.00013-8","article-title":"Classification and pathophysiology of spinal vascular malformations","volume":"143","author":"Abecassis","year":"2017","journal-title":"Handb Clin Neurol."},{"key":"B11","first-page":"85","article-title":"Intradural extramedullary spinal arterio-venous malformations fed by the anterior spinal artery","volume":"8","author":"Djindjian","year":"1977","journal-title":"Surg Neurol."},{"key":"B12","doi-asserted-by":"publisher","first-page":"134","DOI":"10.3171\/jns.1986.64.1.0134","article-title":"Direct spinal arteriovenous fistula: a new type of spinal AVM. 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