title: Spinal arteriovenous malformation presenting with prolapsed intervertebral disc: a diagnostic dilemma.
abstract: The availability of multiple investigating modalities should be utilized to arrive at the correct diagnosis of the spinal arteriovenous malformation (AVM). We hereby report the case of a 21-year-old, obese female, who presented with paraplegia and impaired bowel control two years after an episode of the fall. The Magnetic Resonance Imaging (MRI) of her spine not only revealed disc prolapse at T11-T12, but also tortuous dilated spinal veins and cord oedema. A diagnosis of a spinal arterio-venous fistula was confirmed after a spinal angiogram. The dilemma of treating the right pathology for the clinical signs and symptoms are being discussed.
authors.affiliation: Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
authors.forename: M Y
authors.initials: MY
authors.lastname: Farina
authors.forename: H
authors.initials: H
authors.lastname: Harunarashid
authors.forename: F
authors.initials: F
authors.lastname: Faridzal
authors.forename: T
authors.initials: T
authors.lastname: Jegan
authors.forename: S
authors.initials: S
authors.lastname: Das
mesh_terms: D001165:Arteriovenous Malformations / Q000150:complications* / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000209:etiology*; D008159:Lumbar Vertebrae; D013116:Spinal Cord / Q000098:blood supply*; D013904:Thoracic Vertebrae; D055815:Young Adult