Atypical spinal dural arteriovenous fistula with supply from the lateral sacral artery.
作者： A. Nishio , K. Ohata , T. Takami , M. Nishikawa , M. Hara
DOI: 10.1016/J.JOCN.2005.10.020
关键词: Surgery 、 Spinal cord 、 Arachnoiditis 、 Medicine 、 Arteriovenous fistula 、 Lateral sacral artery 、 Lumbar 、 Dura mater 、 Cerebral angiography 、 Discectomy
摘要: We report a dural arteriovenous fistula (AVF) that developed at site on the midline dorsal surface of dura mater had been damaged by repeated lumbar punctures. A 61-year-old male patient undergone punctures and discectomy for severe lumbago 40 years before present admission. After surgery, symptoms resolved. However, 30 after operation, he started to experience dysaesthesia, motor weakness in both legs, urinary disturbance. Physical examination revealed bilateral leg weakness, diminished deep tendon reflexes patellar Achilles tendons bilaterally, decreased superficial sensation below L1. Magnetic resonance imaging swelling with intramedullary high intensity multiple flow voids around conus spinal cord T(2)-weighted images, adhesive arachnoiditis. Spinal angiography an AVF between left lateral sacral artery S1 radicular vein previous operation. Surgery was conducted carry out excision shunting point, arterialized intradural vein, lysis This case may have caused
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