Arteriovenous Fistula of the Filum Terminale Misdiagnosed and Previously Operated as Lower Lumbar Degenerative Disease.
- Author:
Pankaj SHARMA
1
;
Alok RANJAN
;
Rahul LATH
Author Information
- Publication Type:Case Report
- Keywords: Failed back surgery syndrome; Filum terminale arteriovenous fistula
- MeSH: Arteriovenous Fistula*; Cauda Equina*; Constriction, Pathologic; Conus Snail; Diagnosis; Failed Back Surgery Syndrome; Humans; Lower Extremity; Male; Middle Aged; Motor Neurons; Prolapse
- From:Asian Spine Journal 2014;8(3):365-370
- CountryRepublic of Korea
- Language:English
- Abstract: Filum terminale arteriovenous fistula (FTAVF) presenting as a cause of failed back surgery syndrome is a rare entity. We report a 48-year-old male patient who presented with clinical features of a conus medullaris/cauda equina lesion. He had upper and lower motor neuron signs in both the lower limbs with autonomic dysfunction. The patient was misdiagnosed and was operated twice earlier for lumbar canal stenosis and disc prolapse. After reviewing his clinical and radiological findings a diagnosis of FTAVF was made. He underwent surgery and there was a significant improvement in his neurological functions. We discuss the case and review the literature on FTAVF's.
