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Neurol. Med. Chir. (Tokyo) · Jan 2011
Case ReportsParaspinal arteriovenous fistula presenting with subarachnoid hemorrhage and acute progressive myelopathy--case report.
- Hiroyuki Toi, Shunji Matsubara, Shigeru Watanabe, Takenori Yamashita, and Masaaki Uno.
- Department of Neurosurgery, Kawasaki Medical School, Kurashiki, Okayama, Japan. ht11251974@yahoo.co.jp
- Neurol. Med. Chir. (Tokyo). 2011 Jan 1; 51 (12): 846-9.
AbstractA 60-year-old man presented with paraspinal arteriovenous fistula (AVF) manifesting as subarachnoid hemorrhage (SAH) and acute progressive myelopathy. The patient presented with sudden onset of low back pain and paraparesis. Spinal magnetic resonance imaging revealed a vascular malformation on the lumbar spinal canal. Three-dimensional computed tomography angiography demonstrated a paraspinal AVF in the sacral ventral pelvis. The clinical symptoms were progressing rapidly, so transarterial embolization and surgical drainage ligation were performed. Paraspinal AVF may present with SAH and cause acute progressive myelopathy. Prompt examination and treatment are necessary.
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