Acquired Spinal Arteriovenous Fistula Presenting as Brown-Séquard Syndrome and Endovascular Treatment Outcome.
BACKGROUND
Brown-Séquard syndrome is typically caused by penetrating trauma to the cervical spinal cord; however, other compressive and vascular occlusive etiologies have been previously described. It is extremely uncommon to have a delayed presentation as an extramedullary compressive lesion from the venous varix of an acquired spinal arteriovenous fistula.


METHODS
We present a case of a patient in the fifth decade of life, with a remote history of gunshot wound to the left thorax with progressive left-sided weakness and contralateral pain and temperature sensory loss secondary to cord compression from an acquired spinal arteriovenous fistula.


CONCLUSIONS
Subsequent treatment occurred with coil embolization with good outcome.
Department of Internal Medicine, St. John Hospital and Medical Center, Detroit, Michigan, USA.
Rizvi
R
Humaira
Division of Neurosurgery, Department of Surgery, Providence Hospital and Medical Center, Southfield, Michigan, USA. Electronic address: tochiuyuen@gmail.com.
Chiu Yuen
CY
To
Department of Neurology, St. John Hospital and Medical Center, Detroit, Michigan, USA.
Shyam
S
Moudgil
Department of Surgery, St. John Hospital and Medical Center, Detroit, Michigan, USA.
Richard
R
Fessler
D017668:Age of Onset; D015901:Angiography, Digital Subtraction; D018437:Brown-Sequard Syndrome / Q000175:diagnosis* / Q000628:therapy*; D020785:Central Nervous System Vascular Malformations / Q000175:diagnosis* / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011712:Pyramidal Tracts / Q000293:injuries*; D013116:Spinal Cord / Q000098:blood supply*; D013117:Spinal Cord Compression / Q000175:diagnosis* / Q000628:therapy*; D013119:Spinal Cord Injuries / Q000150:complications*; D014948:Wounds, Gunshot / Q000150:complications*
AV fistula; Gunshot wound; Myelopathy; Spinal cord compression