Cargando…

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

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. CASE REPORT: We re...

Descripción completa

Detalles Bibliográficos
Autores principales: Sood, Dinesh, Mistry, Kewal A., Khatri, Garvit D., Chadha, Veenal, Garg, Swati, Suthar, Pokhraj P., Patel, Dhruv G., Patel, Ankitkumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4492508/
https://www.ncbi.nlm.nih.gov/pubmed/26171088
http://dx.doi.org/10.12659/PJR.894304
_version_ 1782379780188930048
author Sood, Dinesh
Mistry, Kewal A.
Khatri, Garvit D.
Chadha, Veenal
Garg, Swati
Suthar, Pokhraj P.
Patel, Dhruv G.
Patel, Ankitkumar
author_facet Sood, Dinesh
Mistry, Kewal A.
Khatri, Garvit D.
Chadha, Veenal
Garg, Swati
Suthar, Pokhraj P.
Patel, Dhruv G.
Patel, Ankitkumar
author_sort Sood, Dinesh
collection PubMed
description 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. CASE REPORT: 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.
format Online
Article
Text
id pubmed-4492508
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher International Scientific Literature, Inc.
record_format MEDLINE/PubMed
spelling pubmed-44925082015-07-13 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 Sood, Dinesh Mistry, Kewal A. Khatri, Garvit D. Chadha, Veenal Garg, Swati Suthar, Pokhraj P. Patel, Dhruv G. Patel, Ankitkumar Pol J Radiol Case Report 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. CASE REPORT: 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. International Scientific Literature, Inc. 2015-07-01 /pmc/articles/PMC4492508/ /pubmed/26171088 http://dx.doi.org/10.12659/PJR.894304 Text en © Pol J Radiol, 2015 This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited.
spellingShingle Case Report
Sood, Dinesh
Mistry, Kewal A.
Khatri, Garvit D.
Chadha, Veenal
Garg, Swati
Suthar, Pokhraj P.
Patel, Dhruv G.
Patel, Ankitkumar
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
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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4492508/
https://www.ncbi.nlm.nih.gov/pubmed/26171088
http://dx.doi.org/10.12659/PJR.894304
work_keys_str_mv AT sooddinesh congestivemyelopathyduetointraduralspinalavmsuppliedbyarteryofadamkiewiczcasereportwithbriefliteraturereviewandanalysisofthefoixalajouaninesyndromedefinition
AT mistrykewala congestivemyelopathyduetointraduralspinalavmsuppliedbyarteryofadamkiewiczcasereportwithbriefliteraturereviewandanalysisofthefoixalajouaninesyndromedefinition
AT khatrigarvitd congestivemyelopathyduetointraduralspinalavmsuppliedbyarteryofadamkiewiczcasereportwithbriefliteraturereviewandanalysisofthefoixalajouaninesyndromedefinition
AT chadhaveenal congestivemyelopathyduetointraduralspinalavmsuppliedbyarteryofadamkiewiczcasereportwithbriefliteraturereviewandanalysisofthefoixalajouaninesyndromedefinition
AT gargswati congestivemyelopathyduetointraduralspinalavmsuppliedbyarteryofadamkiewiczcasereportwithbriefliteraturereviewandanalysisofthefoixalajouaninesyndromedefinition
AT sutharpokhrajp congestivemyelopathyduetointraduralspinalavmsuppliedbyarteryofadamkiewiczcasereportwithbriefliteraturereviewandanalysisofthefoixalajouaninesyndromedefinition
AT pateldhruvg congestivemyelopathyduetointraduralspinalavmsuppliedbyarteryofadamkiewiczcasereportwithbriefliteraturereviewandanalysisofthefoixalajouaninesyndromedefinition
AT patelankitkumar congestivemyelopathyduetointraduralspinalavmsuppliedbyarteryofadamkiewiczcasereportwithbriefliteraturereviewandanalysisofthefoixalajouaninesyndromedefinition