Spinal Arteriovenous Fistula with Progressive Paraplegia after Spinal Anaesthesia.
10.3340/jkns.2014.55.2.106
- Author:
Gerasimos BALTSAVIAS
1
;
Nikolaos ARGYRAKIS
;
Georgios K MATIS
;
Stephanie MPATA-TSHIBEMBA
Author Information
1. Department of Neuroradiology, University Hospital of Zurich, Zurich, Switzerland. Gerasimos.Baltsavias@usz.ch
- Publication Type:Case Report
- Keywords:
Arteriovenous fistula;
Iatrogenic lesion;
Paraplegia;
Spinal anaesthesia
- MeSH:
Angiography, Digital Subtraction;
Arteries;
Arteriovenous Fistula*;
Female;
Fistula;
Humans;
Paraplegia*;
Spinal Puncture;
Veins
- From:Journal of Korean Neurosurgical Society
2014;55(2):106-109
- CountryRepublic of Korea
- Language:English
-
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.
