Spinal arteriovenous malformation presenting as meningitis.
An 8-month-old boy presented with a two-day history of lethargy. Meningitis was suspected, and cerebrospinal fluid examination demonstrated pleocytosis and elevated protein. After initial improvement with antibiotic and steroid therapy, progressive lower extremity weakness developed, and a midthoracic spinal cord arteriovenous malformation (AVM) was diagnosed. These lesions present rarely in infancy; the classification and pathophysiology of spinal cord AVMs are reviewed.
Lowe
D W
DW
University of Rochester, USA.
Gospe
S M
SM
Hecht
S T
ST
D001165:Arteriovenous Malformations / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D007223:Infant; D008297:Male; D008582:Meningitis, Aseptic / Q000209:etiology*; D016920:Meningitis, Bacterial / Q000175:diagnosis; D013116:Spinal Cord / Q000098:blood supply*