Acute Paraplegia After Lumbar Steroid Injection in Patients With Spinal Dural Arteriovenous Fistulas: Case Reports.
10.5535/arm.2016.40.5.949
- Author:
Sunwoong KIM
1
;
Yuseong CHOI
;
Jinyoung PARK
;
Duk Hyun SUNG
Author Information
1. Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. yays.sung@samsung.com
- Publication Type:Case Report
- Keywords:
Spine;
Arteriovenous fistula;
Injections;
Epidural;
Steroids;
Paraplegia
- MeSH:
Arteriovenous Fistula;
Central Nervous System Vascular Malformations*;
Extremities;
Humans;
Low Back Pain;
Paraplegia*;
Spine;
Steroids;
Vascular Malformations
- From:Annals of Rehabilitation Medicine
2016;40(5):949-954
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spinal dural arteriovenous fistulas (SDAVFs) are the most common type of spinal vascular malformations. However, SDAVFs are still underdiagnosed entities because their clinical symptoms are usually non-specific, as they include low back pain or radiating pain to the limb. There have been several reports of acute paraplegia after lumbar epidural steroid injections in patients with SDAVFs. We present 4 patients with SDAVFs who received lumbar steroid injection. Among the 4 cases, acute paraplegia developed in 2 cases that received a larger volume of injectate than the other cases. Thus, we are suggesting that the volume of injectate may be a contributing factor for acute paraplegia after lumbar steroid injection in patients with SDAVFs.
