• World Neurosurg · Dec 2016

    Review Case Reports

    Acquired Spinal Arteriovenous Fistula Presenting as Brown Sequard Syndrome and Endovascular Treatment Outcome.

    • Rizvi Humaira, Chiu Yuen To, Shyam Moudgil, and Richard Fessler.
    • Department of Internal Medicine, St. John Hospital and Medical Center, Detroit, Michigan, USA.
    • World Neurosurg. 2016 Dec 1; 96: 613.e1-613.e4.

    BackgroundBrown-Séquard syndrome is typically caused by penetrating trauma to the cervical spinal cord; however, other compressive and vascular occlusive etiologies have been previously described. It is extremely uncommon to have a delayed presentation as an extramedullary compressive lesion from the venous varix of an acquired spinal arteriovenous fistula.Case DescriptionWe present a case of a patient in the fifth decade of life, with a remote history of gunshot wound to the left thorax with progressive left-sided weakness and contralateral pain and temperature sensory loss secondary to cord compression from an acquired spinal arteriovenous fistula.ConclusionsSubsequent treatment occurred with coil embolization with good outcome.Copyright © 2016 Elsevier Inc. All rights reserved.

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