Spinal Arteriovenous Fistula with Progressive Paraplegia after Spinal Anaesthesia

A case of an iatrogenic spinal arteriovenous fistula with progressive paraplegia in a young woman is reported. The fistula was eventually created after repetitive lumbar punctures performed in the process of spinal anaesthesia. Her symptoms were progressed to paraplegia over a period of 2 years. The...

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Bibliographic Details
Published in:Journal of Korean Neurosurgical Society 2014, Vol.55 (2), p.106-109
Main Authors: Baltsavias, Gerasimos, Argyrakis, Nikolaos, Matis, Georgios K, Mpata-Tshibemba, Stephanie
Format: Article
Language:Korean
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Summary:A case of an iatrogenic spinal arteriovenous fistula with progressive paraplegia in a young woman is reported. The fistula was eventually created after repetitive lumbar punctures performed in the process of spinal anaesthesia. Her symptoms were progressed to paraplegia over a period of 2 years. The digital subtraction angiography demonstrated a single-hole fistula, involving the anterior spinal artery and vein. The lesion was occluded by embolization with immediate improvement. The potential mechanism is discussed.
ISSN:2005-3711
1598-7876