Journal of Korean Neurosurgical Society

  • 제55권2호
  • /
  • Pages.106-109
  • /
  • 2014
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

Spinal Arteriovenous Fistula with Progressive Paraplegia after Spinal Anaesthesia

  • 투고 : 2013.01.08
  • 심사 : 2014.01.10
  • 발행 : 2014.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Ahmad FU, Pandey P, Sharma BS, Garg A : Foot drop after spinal anesthesia in a patient with a low-lying cord. Int J Obstet Anesth 15 : 233-236, 2006 https://doi.org/10.1016/j.ijoa.2005.11.002
  2. Auroy Y, Narchi P, Messiah A, Litt L, Rouvier B, Samii K : Serious complications related to regional anesthesia : results of a prospective survey in France. Anesthesiology 87 : 479-486, 1997 https://doi.org/10.1097/00000542-199709000-00005
  3. Birnbach DJ, Hernandez M, van Zundert AA : Neurologic complications of neuraxial analgesia for labor. Curr Opin Anaesthesiol 18 : 513-517, 2005 https://doi.org/10.1097/01.aco.0000182558.86938.a0
  4. Boon JM, Abrahams PH, Meiring JH, Welch T : Lumbar puncture : anatomical review of a clinical skill. Clin Anat 17 : 544-553, 2004 https://doi.org/10.1002/ca.10250
  5. Charuluxananan S, Thienthong S, Rungreungvanich M, Chanchayanon T, Chinachoti T, Kyokong O, et al. : The Thai Anesthesia Incidents Study (THAI study) of morbidity after spinal anesthesia : a multi-centered registry of 40,271 anesthetics. J Med Assoc Thai 90 : 1150-1160, 2007
  6. Domenicucci M, Ramieri A, Ciappetta P, Delfini R : Nontraumatic acute spinal subdural hematoma : report of five cases and review of the literature. J Neurosurg 91 (1 suppl) : 65-73, 1999
  7. Faccenda KA, Finucane BT : Complications of regional anaesthesia Incidence and prevention. Drug Saf 24 : 413-442, 2001 https://doi.org/10.2165/00002018-200124060-00002
  8. Halbach VV, Higashida RT, Dowd CF, Fraser KW, Edwards MS, Barnwell SL : Treatment of giant intradural (perimedullary) arteriovenous fistulas. Neurosurgery 33 : 972-979; discussion 979-980, 1993 https://doi.org/10.1227/00006123-199312000-00003
  9. LaFerlita BW : Postoperative paraplegia coincident with single shot spinal anaesthesia. Anaesth Intensive Care 35 : 605-607, 2007
  10. Lasjaunias P, Berenstein A, ter Brugge K : Surgical Neuroangiography, ed 2. Berlin : Springer-Verlag, 2004, pp767-813
  11. Likar R, Mathiaschitz K, Spendel M, Krumpholz R, Martin E : [Acute spinal subdural hematoma after attempted spinal anesthesia]. Anaesthesist 45 : 66-69, 1996 https://doi.org/10.1007/s001010050242
  12. Liu YC, Wu RS, Wong CS : Unexpected complication of attempted epidural anaesthesia: cauda equina syndrome. Anaesth Intensive Care 31 : 461-464, 2003
  13. Niimi Y, Berenstein A : Endovascular treatment of spinal vascular malformations. Neurosurg Clin N Am 10 : 47-71, 1999
  14. Paech MJ, Godkin R, Webster S : Complications of obstetric epidural analgesia and anaesthesia : a prospective analysis of 10,995 cases. Int J Obstet Anesth 7 : 5-11, 1998 https://doi.org/10.1016/S0959-289X(98)80021-6
  15. Pogatzki-Zahn EM, Wenk M, Wassmann H, Heindel WL, Van Aken H : [Complications of regional anesthesia : diagnostic and management]. Anasthesiol Intensivmed Notfallmed Schmerzther 42 : 42-52, 2007 https://doi.org/10.1055/s-2007-969043
  16. Pradhan S, Yadav R, Maurya PK, Mishra VN : Focal myelomalacia and syrinx formation after accidental intramedullary lidocaine injection during lumbar anesthesia : a report of 3 cases. J Neurol Sci 251 : 70-72, 2006 https://doi.org/10.1016/j.jns.2006.09.004
  17. Rajakulendran Y, Rahman S, Venkat N : Long-term neurological complication following traumatic damage to the spinal cord with a 25 gauge whitacre spinal needle. Int J Obstet Anesth 8 : 62-66, 1999 https://doi.org/10.1016/S0959-289X(99)80154-X
  18. Rodesch G, Hurth M, Alvarez H, David P, Tadie M, Lasjaunias P : Embolization of spinal cord arteriovenous shunts : morphological and clinical follow-up and results--review of 69 consecutive cases. Neurosurgery 53 : 40-49; discussion 49-50, 2003 https://doi.org/10.1227/01.NEU.0000068701.25600.A1
  19. Rodesch G, Hurth M, Alvarez H, Lasjaunias P : Embolisation of Spinal Cord Arteriovenous Malformations with Glue through the Anterior Spinal Axis. Review of 20 Cases. Interv Neuroradiol 3 : 131-143, 1997 https://doi.org/10.1177/159101999700300205
  20. Rodesch G, Hurth M, Alvarez H, Tadié M, Lasjaunias P : Classification of spinal cord arteriovenous shunts : proposal for a reappraisal--the Bicêtre experience with 155 consecutive patients treated between 1981 and 1999. Neurosurgery 51 : 374-379; discussion 379-380, 2002
  21. Rodesch G, Hurth M, Alvarez H, Tadie M, Lasjaunias P : Spinal cord intradural arteriovenous fistulae : anatomic, clinical, and therapeutic considerations in a series of 32 consecutive patients seen between 1981 and 2000 with emphasis on endovascular therapy. Neurosurgery 57 : 973-983; discussion 973-983, 2005 https://doi.org/10.1227/01.NEU.0000181314.94000.CD
  22. Sorenson EJ : Neurological injuries associated with regional anesthesia. Reg Anesth Pain Med 33 : 442-448, 2008 https://doi.org/10.1097/00115550-200809000-00007