کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4099719 1268651 2009 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Spinal dural arteriovenous fistula with hematomyelia caused by intraparenchymal varix of draining vein
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Spinal dural arteriovenous fistula with hematomyelia caused by intraparenchymal varix of draining vein
چکیده انگلیسی

Background ContextHemorrhage that results from spinal dural arteriovenous fistula (Type I arteriovenous malformation [AVM]) is uncommon. There are some reports of subarachnoid hemorrhage and subdural hematoma caused by Type I spinal AVM, but there are few reported cases of hematomyelia caused by spinal dural arteriovenous fistula.PurposeTo describe an interesting patient who had hematomyelia caused by a dural arteriovenous fistula (Type I spinal AVM).Study designA case report.MethodsWe present a case of a 51-year-old man who presented acute onset epigastric pain, paraplegia, and sensory loss below his nipples. Magnetic resonance imaging and selective spinal angiogram demonstrated hematomyelia, subarachnoid hemorrhage, and spinal arteriovenous fistula fed by the right Th7 intercostal artery. By laminotomy of Th6–8, the varix-like draining vein and intramedurally hematoma were partially removed and the arterial supply was interrupted by coagulation of the right Th7 segmental artery.ResultsOne month after surgery, he regained movement against gravity at the left ankle and toe but no functionally significant improvement.ConclusionsIt must be kept in mind that spinal dural arteriovenous fistulas (Type I spinal AVM) has possibility of hematomyelia origin, despite the fact that it is extremely rare.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Spine Journal - Volume 9, Issue 4, April 2009, Pages e15–e19
نویسندگان
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