Imagining findings can be misleading; clinical correlation is must: A Rare case of Spinal Cord A-V Malformation Masquerading Radiculopathy
Gautam Das, Praneet Singh, Amit A Sequeira, Karan M Patel
Keywords :
Clinical examination, Fistula, Spinal cord AV malformation
Citation Information :
Das G, Singh P, Sequeira AA, Patel KM. Imagining findings can be misleading; clinical correlation is must: A Rare case of Spinal Cord A-V Malformation Masquerading Radiculopathy. J Recent Adv Pain 2018; 4 (2):75-78.
Spinal dural arteriovenous fistulas (SDAVF), is a clinical condition that can pose a challenge to the clinicians both in the diagnosis as well as treatment. This rare disorder can present with certain nonspecific symptoms and signs, including gait abnormality or lower-limb sensory or motor weakness. Symptoms may progress gradually or in some cases decline over a period. It can be treated surgically or through an endovascular approach involving disconnection of the fistula to make a prompt diagnosis, detailed history and proper neurological examination along with correlated imagine findings is the right way. We encountered a patient having long-standing bilateral lower limb weakness and sensory disturbances for which he was operated twice at different levels, with partial improvement. By a combination of detailed neurological examination and appropriate diagnostic imaging, we concluded that an arteriovenous (AV) malformation at the mid-thoracic spinal cord level was the causative factor for the same which is proposed below.
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