title: Paraplegia in pregnancy: a case of spinal vascular malformation with Klippel-Trenaunay syndrome.
abstract: METHODS
  A case report.
  
  
  OBJECTIVE
  To present improvement of paraplegia due to spinal vascular malformation after delivery with no intervention.
  
  
  BACKGROUND
  Pregnancy has been reported rarely in patients with Klippel-Trenaunay syndrome (KTS). A combined case of spinal arteriovenous malformations (AVMs) within KTS has not been reported before.
  
  
  METHODS
  A case report of KTS with paraplegia is presented and the pertinent literature is then reviewed.
  
  
  RESULTS
  A pregnant woman who was diagnosed with KTS in childhood presented with newly developed paraplegia due to spinal AVMs. Magnetic resonance image showed a vascular malformation at the T9-T12 levels without evidence of spinal cord hemorrhage. Diagnostic angiography that was performed after delivery revealed a high-flow arteriovenous fistula with AVM.
  
  
  CONCLUSIONS
  Pregnancy complicated by paraplegia is thought to be secondary to venous engorgement and to the resulting spinal cord ischemia in this case. Her neurological symptoms and signs gradually improved over the few days after cesarean delivery.
authors.affiliation: Department of Neurology, Firat (Euphrates) University, Elazig, Turkey. cfdemir@gmail.com
authors.forename: Caner Feyzi
authors.initials: CF
authors.lastname: Demir
authors.forename: Mustafa
authors.initials: M
authors.lastname: Yildiz
authors.forename: Hasan
authors.initials: H
authors.lastname: Özdemir
authors.forename: Oktay
authors.initials: O
authors.lastname: Kapan
authors.forename: Zülkif
authors.initials: Z
authors.lastname: Bozgeyik
authors.forename: Said
authors.initials: S
authors.lastname: Berilgen
authors.forename: Banu
authors.initials: B
authors.lastname: Aygün
authors.forename: Fatih Serhat
authors.initials: FS
authors.lastname: Erol
mesh_terms: D000328:Adult; D001165:Arteriovenous Malformations / Q000150:complications* / Q000000981:diagnostic imaging / Q000235:genetics; D002585:Cesarean Section; D003937:Diagnosis, Differential; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D020275:Guillain-Barre Syndrome / Q000175:diagnosis; D006801:Humans; D007231:Infant, Newborn; D007715:Klippel-Trenaunay-Weber Syndrome / Q000150:complications*; D008279:Magnetic Resonance Imaging; D010264:Paraplegia / Q000209:etiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology*; D011859:Radiography; D013116:Spinal Cord / Q000098:blood supply; D020760:Spinal Cord Ischemia / Q000175:diagnosis / Q000209:etiology*; D013904:Thoracic Vertebrae; D014549:Urinary Incontinence / Q000209:etiology