title: Congestive Myelopathy due to Intradural Spinal AVM Supplied by Artery of Adamkiewicz: Case Report with Brief Literature Review and Analysis of the Foix-Alajouanine Syndrome Definition.
abstract: BACKGROUND
  Spinal arteriovenous malformations (AVMs) can lead to development of congestive myelopathy (Foix-Alajouanine syndrome). Spinal AVMs are rare and so is this syndrome. Diagnosis is often missed due to its rarity and confusing definitions of the Foix-Alajouanine syndrome.
  
  
  METHODS
  We report a case of a 47-year-old male patient suffering from this rare syndrome with an AVM arising from the artery of Adamkiewicz, which is another rarity. Our patient was treated by embolization of the lesion with 20% glue, after which he showed mild improvement of symptoms. We also present a brief review of literature on spinal AVMs and elucidate the evolution of the term Foix-Alajouanine syndrome.
  
  
  CONCLUSIONS
  Use of the term "Foix-Alajouanine syndrome" should be restricted to patients with progressive subacute to chronic neurological symptoms due to congestive myelopathy caused by intradural spinal AVMs. CT angiography should supplement DSA as preliminary Imaging modality. Patients may be treated with surgery or endovascular procedures.
authors.affiliation: Department of Radiology, Dr Rajendra Prasad Government Medical College, Kangra, India.
authors.forename: Dinesh
authors.initials: D
authors.lastname: Sood
authors.affiliation: Department of Radiology, Dr Rajendra Prasad Government Medical College, Kangra, India.
authors.forename: Kewal A
authors.initials: KA
authors.lastname: Mistry
authors.affiliation: Department of Radiology, VMMC & Safdarjung Hospital, New Delhi, India.
authors.forename: Garvit D
authors.initials: GD
authors.lastname: Khatri
authors.affiliation: Department of Radiology, Dr Rajendra Prasad Government Medical College, Kangra, India.
authors.forename: Veenal
authors.initials: V
authors.lastname: Chadha
authors.affiliation: Department of Radiology, Appolo Group of Hospitals, New Delhi, India.
authors.forename: Swati
authors.initials: S
authors.lastname: Garg
authors.affiliation: Department of Radiology, Baroda Medical College, Vadodara, India.
authors.forename: Pokhraj P
authors.initials: PP
authors.lastname: Suthar
authors.affiliation: Department of Cardiology, Saint Francis Hospital, Woodland Street, Hartford, CT, U.S.A.
authors.forename: Dhruv G
authors.initials: DG
authors.lastname: Patel
authors.affiliation: Department of Physiology, Baroda Medical College, Vadodara, India.
authors.forename: Ankitkumar
authors.initials: A
authors.lastname: Patel
keywords: Angiography, Digital Subtraction; Central Nervous System Vascular Malformations; Magnetic Resonance Imaging; Multidetector Computed Tomography; Spinal Cord Ischemia