• Spine · Sep 2012

    Case Reports

    Paraplegia in pregnancy: a case of spinal vascular malformation with Klippel-Trenaunay syndrome.

    • Caner Feyzi Demir, Mustafa Yildiz, Hasan Özdemir, Oktay Kapan, Zülkif Bozgeyik, Said Berilgen, Banu Aygün, and Fatih Serhat Erol.
    • Department of Neurology, Firat (Euphrates) University, Elazig, Turkey. cfdemir@gmail.com
    • Spine. 2012 Sep 1;37(19):E1218-20.

    Study DesignA case report.ObjectiveTo present improvement of paraplegia due to spinal vascular malformation after delivery with no intervention.Summary Of Background DataPregnancy has been reported rarely in patients with Klippel-Trenaunay syndrome (KTS). A combined case of spinal arteriovenous malformations (AVMs) within KTS has not been reported before.MethodsA case report of KTS with paraplegia is presented and the pertinent literature is then reviewed.ResultsA pregnant woman who was diagnosed with KTS in childhood presented with newly developed paraplegia due to spinal AVMs. Magnetic resonance image showed a vascular malformation at the T9-T12 levels without evidence of spinal cord hemorrhage. Diagnostic angiography that was performed after delivery revealed a high-flow arteriovenous fistula with AVM.ConclusionPregnancy complicated by paraplegia is thought to be secondary to venous engorgement and to the resulting spinal cord ischemia in this case. Her neurological symptoms and signs gradually improved over the few days after cesarean delivery.

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