Dural arteriovenous fistula and dorsal thoracic arachnoid web

Discussion:

This is a complicated case, and highlights the failure of Occam's razor in some instances, namely that trying to fit both findings (vessel in the cervical region, and thoracic changes) into one diagnosis is difficult and leads to overly complicated hypotheses. Rather, accepting dual pathology makes arriving at each diagnosis relatively easy, namely cervical dural arteriovenous fistula and dorsal thoracic arachnoid web with scalpel sign

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