• World Neurosurg · May 2024

    Case Reports

    A Case of Extremely Rapid Progression in Foix-Alajouanine Syndrome.

    • Zachary S Hubbard, Conor M Cunningham, and Alejandro M Spiotta.
    • Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA. Electronic address: hubbardz@musc.edu.
    • World Neurosurg. 2024 May 1; 185: 121-2.

    AbstractFoix-Alajouanine syndrome is a rare cause of spinal dural arteriovenous fistula that can cause irreversible myelopathy and paraplegia if not treated promptly. The complex nature of this pathology often leads to missed or delayed diagnosis regardless of broad workups executed. We present a symptomatically classic Foix-Alajouanine 68-year-old patient with an accelerated progression reaching stages of severe myelopathy in less than a year. Even with endovascular intervention, our patient was unable to recover neurologically. Including appropriate spinal imaging early in the workup for Foix-Alajouanine syndrome is necessary to halt or treat this disease process.Copyright © 2024 Elsevier Inc. All rights reserved.

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