Extensive spinal cord infarction after surgical interruption of thoracolumbar dural arteriovenous fistula presenting with subarachnoid hemorrhage.
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.We report a DAVF case with SAH that revealed an extensive infarction from C5 to the conus medullaris after undergoing operative treatment.
Lee
Sang-Hun
SH
Department of Orthopaedic Surgery, Spine Center, Kyung Hee University East West Neomedical Center, Seoul, Korea.
Kim
Ki-Tack
KT
Kim
Sung-Min
SM
Jo
Dae-Jean
DJ
J Vasc Surg. 1999 Sep;30(3):391-7
10477631
Spine (Phila Pa 1976). 2008 Apr 20;33(9):E279-82
18427307
Neurol Clin. 1991 Aug;9(3):585-603
1921948
Paraplegia. 1994 May;32(5):314-22
8058348
Spinal Cord. 2002 Mar;40(3):137-41
11859440
Medicine (Baltimore). 1989 Sep;68(5):282-92
2677596
Neurology. 1996 Aug;47(2):321-30
8757000
J Neurosurg. 1987 Dec;67(6):795-802
3681418
Arch Phys Med Rehabil. 1992 Apr;73(4):365-72
1554311
Stroke. 2004 Feb;35(2):560-5
14726546
Spine (Phila Pa 1976). 2002 Jun 15;27(12):1255-63
12065971
Arch Neurol. 1992 Mar;49(3):284-8
1311168
J Thorac Cardiovasc Surg. 1999 May;117(5):898-905
10220681
J Neuroradiol. 1980;7(4):271-320
7276996
Ann Thorac Surg. 2000 Feb;69(2):409-14
10735672
J Neurosurg Spine. 2008 Jun;8(6):524-8
18518672
Stroke. 2002 Jan;33(1):116-21
11779899
No To Shinkei. 2004 Nov;56(11):961-3
15678954
Pediatr Neurol. 2005 Feb;32(2):124-6
15664774
Arch Neurol. 2006 Aug;63(8):1113-20
16908737
N Z Med J. 1974 Dec 11;80(529):519-20
4532205
Spine (Phila Pa 1976). 2004 Jul 1;29(13):1478-82; discussion 1482
15223942
Neurology. 1997 Dec;49(6):1720-3
9409378
J Neurol Neurosurg Psychiatry. 2004 Oct;75(10):1431-5
15377691
Eur J Cardiothorac Surg. 2007 Feb;31(2):249-55
17182250
Eur J Cardiothorac Surg. 2001 Feb;19(2):203-13
11167113
Can J Neurol Sci. 1975 May;2(2):143-46
1131740
J Neurol. 1995 Aug;242(8):497-503
8530976
Spine (Phila Pa 1976). 2003 Nov 1;28(21):2447-51
14595162
AJNR Am J Neuroradiol. 2004 May;25(5):854-8
15140735
Brain Nerve. 2007 Sep;59(9):997-1000
17886483
Paraplegia. 1965 Mar;2:199-207
14261502
J Neurosurg. 2004 Apr;100(4 Suppl Spine):385-91
15070151
J Neurosurg. 1998 Nov;89(5):755-61
9817413
Spinal Cord. 2001 Oct;39(10):520-5
11641795
Acta Anaesthesiol Scand. 1995 Oct;39(7):872-80
8848884
Acta Neurol Scand. 2002 Apr;105(4):344-8
11939953
J Spinal Disord Tech. 2006 Feb;19(1):68-72
16462223