Paraspinal Arteriovenous Fistula Presenting With Subarachnoid Hemorrhage and Acute Progressive Myelopathy —Case Report—

Hiroyuki TOI; Shunji MATSUBARA; Shigeru WATANABE; Takenori YAMASHITA; Masaaki UNO

doi:10.2176/nmc.51.846

Case Reports

Paraspinal Arteriovenous Fistula Presenting With Subarachnoid Hemorrhage and Acute Progressive Myelopathy

—Case Report—

Hiroyuki TOI, Shunji MATSUBARA, Shigeru WATANABE, Takenori YAMASHITA, Masaaki UNO

著者情報

キーワード: paraspinal arteriovenous fistula, perimedullary venous drainage, three-dimensional computed tomography angiography, subarachnoid hemorrhage, progressive myelopathy

ジャーナルオープンアクセス

2011 年 51 巻 12 号 p. 846-849

DOI https://doi.org/10.2176/nmc.51.846

詳細

抄録

A 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.

責任著者(Corresponding author)

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