Remote thoracic spinal cord hemorrhage caused by lumbar epidural arteriovenous fistula with perimedullary venous drainage

•A hemorrhagic presentation of spinal epidural arteriovenous fistula (SEDAVF) is rare and an intramedullary hemorrhagic presentation has been reported in only two cases.•We report a case of lumbar SEDAVF presenting with remote hemorrhage in the posterior column of the thoracic spinal cord.•Unlike th...

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Bibliographic Details
Published in:Neuro-chirurgie 2023-11, Vol.69 (6), p.101485, Article 101485
Main Authors: Harada, Tomoaki, Fujita, Atsushi, Kohta, Masaaki, Sasayama, Takashi
Format: Article
Language:English
Subjects:
Arteriovenous Fistula - complications
Arteriovenous Fistula - diagnosis
Arteriovenous Fistula - surgery
Central Nervous System Vascular Malformations
Drainage - adverse effects
Embolization, Therapeutic
Hematomyelia
Hemorrhage - complications
Humans
Intramedullary hemorrhage
Magnetic Resonance Imaging
Spinal Cord - surgery
Spinal epidural arteriovenous fistula
Transvenous embolization
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Description
Summary:•A hemorrhagic presentation of spinal epidural arteriovenous fistula (SEDAVF) is rare and an intramedullary hemorrhagic presentation has been reported in only two cases.•We report a case of lumbar SEDAVF presenting with remote hemorrhage in the posterior column of the thoracic spinal cord.•Unlike the good prognosis after treatment for patients with SEDAVF, our patient did not achieve independence because of residual loss of proprioception and vibration sense which were sequelae of remote spinal cord hemorrhage.
ISSN:0028-3770
1773-0619
1773-0619
DOI:10.1016/j.neuchi.2023.101485