Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Extensive Spinal Cord Infarction after Surgical Interruption of Thoracolumbar Dural Arteriovenous Fistula Presenting with Subarachnoid Hemorrhage

  • Lee, Sang-Hun (Departments of Orthopaedic Surgery, Spine Center, Kyung Hee University East West Neomedical Center) ;
  • Kim, Ki-Tack (Departments of Orthopaedic Surgery, Spine Center, Kyung Hee University East West Neomedical Center) ;
  • Kim, Sung-Min (Departments of Neurosurgery, Spine Center, Kyung Hee University East West Neomedical Center) ;
  • Jo, Dae-Jean (Departments of Neurosurgery, Spine Center, Kyung Hee University East West Neomedical Center)
  • Published : 2009.07.31
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Abstract

Nontraumatic intracranial subarachnoid hemorrhage (SAH) attributable to the thoracolumbar dural arteriovenous fistulas (DAVFs) has been extremely rare. A 41-year-old male patient was admitted with severe acute headache, neck stiffness, and pronounced low-back pain radiating to both legs. The T2-weighted MR imaging showed irregular signal void and enlarged, varix like pouch formation with spinal cord compression at the T11-12 level. The angiogram revealed a DAVF. We report a DAVF case with SAH that revealed an extensive infarction from C5 to the conus medullaris after undergoing operative treatment.

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References

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