J Korean Neurosurg Soc.
2014 Feb;55(2):106-109. 10.3340/jkns.2014.55.2.106.
Spinal Arteriovenous Fistula with Progressive Paraplegia after Spinal Anaesthesia
- Affiliations
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- 1Department of Neuroradiology, University Hospital of Zurich, Zurich, Switzerland. Gerasimos.Baltsavias@usz.ch
- 2Neuroendovascular Unit, Interbalkan Medical Center, Thessaloniki, Greece.
- KMID: 2191056
- DOI: http://doi.org/10.3340/jkns.2014.55.2.106
Abstract
- 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.
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