title: [Thoracic pain and arteriovenous fistula of the spinal cord].
abstract: A 58 year old man was admitted with a pseudo-coronary pain. Cardiological investigations (ECG, chest X-ray, enzymes) were normal. Pain however was exacerbated by movement, coughing and pressure over T4 to T10 vertebrae. On the 4th day, the patient developed a weakness of the right lower limb which worsened 15 days later. On examination there were in the right lower limb a combination of central (Babinski sign) and peripheral signs (diminished deep reflexes, loss of sensation to all modalities ipsilateral to the paralysis). Metrizamide myelography was within normal limits. Spinal angiography revealed a dural arteriovenous fistula draining into spinal veins, at the level of T5. Following the removal of the fistula, the pain disappeared and the other symptoms and signs improved.
mesh_terms: D001164:Arteriovenous Fistula / Q000150:complications* / Q000000981:diagnostic imaging; D004388:Dura Mater / Q000098:blood supply*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D011859:Radiography; D013896:Thoracic Diseases / Q000209:etiology*
vernacular_title: Douleur thoracique et fistule artérioveineuse de la moelle épinière.