Spinal Arteriovenous Fistula with Progressive Paraplegia after Spinal Anaesthesia

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...

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Detalles Bibliográficos
Autores principales: Baltsavias, Gerasimos, Argyrakis, Nikolaos, Matis, Georgios K., Mpata-Tshibemba, Stephanie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Neurosurgical Society 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3958573/
https://www.ncbi.nlm.nih.gov/pubmed/24653807
http://dx.doi.org/10.3340/jkns.2014.55.2.106
Descripción
Sumario: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.

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