A rare cause of progressive paraparesis and urinary retention: Spinal dural arteriovenous fistula- Case report

• Main Authors: Sırma Geyik, Feyza Gelebek, Tolgahan Kaya, Akif Şirikçi, Münife Neyal
• Format: Article
• Language: English
• Published: Turkish Society of Cerebrovascular Diseases 2016-12-01
• Series: Türk Beyin Damar Hastalıkları Dergisi
• Subjects: Spinal arteriovenous fistula; progressive paraparesis; spinal angiography; urinary retention
• Online Access: http://www.journalagent.com/tbdhd/pdfs/TBDHD_22_3_129_132.pdf

Spinal arteriovenous fistulas (AVF), are rarely seen clinical pathology, have serious morbidity in cases without treatment although spinal AVF are the most common types of spinal arteriovenous malformation. Fifty years old male patient suffered from urine retention and paraparesis after lifted a heavy object. Spinal magnetic resonance images (MRI) showed diffuse hyper intense lesion from midthoracic spinal cord segment to conus medullaris in T2A sequance. Spinal angiography revealed a long segmental dorsal AVF on the right side of T 7-8 level in spinal cord. Because of the low flow and a small AVF neurosurgical Department decided to perform an operation for spinal AVF. We should keep in mind spinal AVF, in which prognosis is well after prompt and appropriate theraphy, as a differential diagnosis in patients presented with progressive spinal symptoms.