title: Angiographic demonstration of a spinal epidural arteriovenous malformation. Case report.
abstract: A 16-year-old boy presented with acute midline thoracic pain followed by rapidly progressive paraplegia. The initial neurological examination demonstrated a complete sensory and motor paraplegia, which significantly improved spontaneously over the following 2 days. Magnetic resonance imaging revealed a posterior epidural hematoma extending from the T-4 to T-6 vertebrae, and spinal angiography demonstrated an arteriovenous malformation (AVM) with a nidus of abnormal epidural vessels at the level of the T-5 vertebra, which was confirmed surgically. This case represents one of the first reports of a spinal epidural AVM confirmed by angiography.
authors.affiliation: Division of Neurosurgery, University of Illinois College of Medicine, Peoria.
authors.forename: W C
authors.initials: WC
authors.lastname: Olivero
authors.forename: W C
authors.initials: WC
authors.lastname: Hanigan
authors.forename: K W
authors.initials: KW
authors.lastname: McCluney
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000792:Angiography; D001165:Arteriovenous Malformations / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D004824:Epidural Space / Q000098:blood supply* / Q000000981:diagnostic imaging; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D010146:Pain / Q000209:etiology; D010264:Paraplegia / Q000209:etiology; D011184:Postoperative Period; D012422:Rupture, Spontaneous; D013116:Spinal Cord / Q000098:blood supply* / Q000000981:diagnostic imaging; D013909:Thorax