J Korean Neurosurg Soc.  2009 Jul;46(1):60-64. 10.3340/jkns.2009.46.1.60.

Extensive Spinal Cord Infarction after Surgical Interruption of Thoracolumbar Dural Arteriovenous Fistula Presenting with Subarachnoid Hemorrhage

Affiliations
  • 1Department of Orthopaedic Surgery, Spine Center, Kyung Hee University East West Neomedical Center, Seoul, Korea.
  • 2Department of Neurosurgery, Spine Center, Kyung Hee University East West Neomedical Center, Seoul, Korea. apuzzo@hanmail.net

Abstract

Nontraumatic intracranial subarachnoid hemorrhage (SAH) attributable to the thoracolumbar dural arteriovenous fistulas (DAVFs) has been extremely rare. A 41-year-old male patient was admitted with severe acute headache, neck stiffness, and pronounced low-back pain radiating to both legs. The T2-weighted MR imaging showed irregular signal void and enlarged, varix like pouch formation with spinal cord compression at the T11-12 level. The angiogram revealed a DAVF.

Keyword

Dural arteriovenous fistula; Subarachnoid hemorrhage; Spinal cord infarction

MeSH Terms

Adult
Central Nervous System Vascular Malformations
Headache
Humans
Infarction
Leg
Male
Neck
Spinal Cord
Spinal Cord Compression
Subarachnoid Hemorrhage
Varicose Veins
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