Acquired Spinal Arteriovenous Fistula Presenting as Brown-Séquard Syndrome and Endovascular Treatment Outcome

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• 作者：Rizvi Humaira¹ ; Chiu Yuen To⁴ ; ^{tochiuyuen@gmail.com} ; ^{samonto@yahoo.com.hk} ; Shyam Moudgil² ; Richard Fessler³
• 关键词：AV fistula ; Gunshot wound ; Myelopathy ; Spinal cord compression
• 刊名：World Neurosurgery
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：96
• 期：Complete
• 页码：613.e1-613.e4
• 全文大小：925 K
• 卷排序：96

文摘

Brown-Séquard syndrome is typically caused by penetrating trauma to the cervical spinal cord; however, other compressive and vascular occlusive etiologies have been previously described. It is extremely uncommon to have a delayed presentation as an extramedullary compressive lesion from the venous varix of an acquired spinal arteriovenous fistula.Case DescriptionWe present a case of a patient in the fifth decade of life, with a remote history of gunshot wound to the left thorax with progressive left-sided weakness and contralateral pain and temperature sensory loss secondary to cord compression from an acquired spinal arteriovenous fistula.ConclusionsSubsequent treatment occurred with coil embolization with good outcome.