While degenerative disorders are the typical cause of cervical radiculopathy, vascular etiologies are exceedingly rare. Dural arteriovenous fistulas (dAVFs) in the anterior condylar confluence (ACC) generally manifest with cranial neuropathies or pulsatile tinnitus....
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists; this case report is outside audiology clinical scope and involves a rare neurovascular condition managed by neuroendovascular specialists.
This case highlights that vascular lesions near the skull base can mimic common spinal conditions, a differential relevant to clinicians evaluating patients with unexplained neck or cranial nerve symptoms.
- 01A single case report documents cervical radiculopathy caused by an epidural venous varix linked to a dural arteriovenous fistula.
- 02The fistula was located in the anterior condylar confluence, an uncommon site near the skull base.
- 03Detailed vascular imaging was key to identifying the true cause behind the atypical presentation.
- 04Published in Journal of Neuroendovascular Therapy (JNET) as a case report.
- 05Relevance to audiology practice is minimal; peripheral vestibular or cochlear involvement is not described.
Epidural venous varix associated with a dural arteriovenous fistula at the anterior condylar confluence can cause cervical radiculopathy.
studypartially supported- PMID
- 42751717
- DOI
- 10.5797/jnet.cr.2025-0159.
- Journal
- Journal of Neuroendovascular Therapy
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- Single patient presenting with cervical radiculopathy caused by an epidural venous varix associated with a dural arteriovenous fistula
- Intervention
- Diagnostic imaging and neuroendovascular evaluation of an atypical cervical radiculopathy
Primary outcomes
Identification of causal vascular lesion underlying atypical cervical radiculopathy