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- Holger Joswig, Faizal A Haji, Rafael Martinez-Perez, David A Steven, and Melfort R Boulton.
- Division of Neurosurgery, Department of Clinical Neurological Sciences, London Health Sciences Centre, University Hospital, London, Ontario, Canada. Electronic address: holger.joswig@gmail.com.
- World Neurosurg. 2017 Jan 1; 97: 750.e1-750.e3.
BackgroundFoix-Alajouanine syndrome is defined as acute neurologic deterioration in the setting of a spinal dural arteriovenous fistula.Case DescriptionThis case report on a young patient with an unusual clinical onset of Foix-Alajouanine syndrome coincidentally occurring after his outpatient clinic appointment illustrates how prompt surgical treatment can result in rapid recovery of neurologic function despite preoperative paraplegia.ConclusionsVenous hypertension with subsequent rapid resolution after surgical treatment is the pathophysiological mechanism underlying a dural arteriovenous fistula, in contrast to historical views suggesting that these lesions result from irreversible venous thrombosis, resulting in necrotic myelopathy.Copyright © 2016 Elsevier Inc. All rights reserved.
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