title: Spinal arteriovenous fistula with progressive paraplegia after spinal anaesthesia.
abstract: A case of an iatrogenic spinal arteriovenous fistula with progressive paraplegia in a young woman is reported. The fistula was eventually created after repetitive lumbar punctures performed in the process of spinal anaesthesia. Her symptoms were progressed to paraplegia over a period of 2 years. The digital subtraction angiography demonstrated a single-hole fistula, involving the anterior spinal artery and vein. The lesion was occluded by embolization with immediate improvement. The potential mechanism is discussed.
authors.affiliation: Department of Neuroradiology, University Hospital of Zürich, Zürich, Switzerland.
authors.forename: Gerasimos
authors.initials: G
authors.lastname: Baltsavias
authors.affiliation: Neuroendovascular Unit, Interbalkan Medical Center, Thessaloniki, Greece.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Argyrakis
authors.affiliation: Department of Neuroradiology, University Hospital of Zürich, Zürich, Switzerland.
authors.forename: Georgios K
authors.initials: GK
authors.lastname: Matis
authors.affiliation: Neuroendovascular Unit, Interbalkan Medical Center, Thessaloniki, Greece.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Mpata-Tshibemba
keywords: Arteriovenous fistula; Iatrogenic lesion; Paraplegia; Spinal anaesthesia