Ruptured cervical arteriovenous fistulas presenting with subarachnoid hemorrhage and quadriplegia: an uncommon case.
Nontraumatic subarachnoid hemorrhage is a neurologic emergency, and prompt treatment is necessary to avoid catastrophic result. We present a patient with subarachnoid hemorrhage caused by ruptured cervical intradural extramedullary arteriovenous fistulas, which rapidly progressed to quadriplegia. Because of the timely management, the patient had a good recovery. This is a rare but important case that emergency physicians should be aware of.
Liu
Chien-Liang
CL
Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei City 111, Taiwan ROC.
Su
Yung-Cheng
YC
Chen
Chien-Chih
CC
Chong
Chee-Fah
CF
Wang
Tzong-Luen
TL
D000328:Adult; D001164:Arteriovenous Fistula / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D011782:Quadriplegia / Q000209:etiology* / Q000601:surgery; D012422:Rupture, Spontaneous; D013117:Spinal Cord Compression / Q000209:etiology* / Q000601:surgery; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome