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http://dx.doi.org/10.3340/jkns.2014.55.2.106

Spinal Arteriovenous Fistula with Progressive Paraplegia after Spinal Anaesthesia  

Baltsavias, Gerasimos (Department of Neuroradiology, University Hospital of Zurich)
Argyrakis, Nikolaos (Neuroendovascular Unit, Interbalkan Medical Center)
Matis, Georgios K. (Department of Neuroradiology, University Hospital of Zurich)
Mpata-Tshibemba, Stephanie (Neuroendovascular Unit, Interbalkan Medical Center)
Publication Information
Journal of Korean Neurosurgical Society / v.55, no.2, 2014 , pp. 106-109 More about this Journal
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.
Keywords
Arteriovenous fistula; Iatrogenic lesion; Paraplegia; Spinal anaesthesia;
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