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KMID : 0860920170190010029
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Journal of the Korean Association EMG-Electrodiagnostic Medicine
2017 Volume.19 No. 1 p.29 ~ p.35
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A Rare Case of Thoracic Myelopathy Caused by Spinal Dural Arteriovenous Fistula in Chemotherapy Treated Patient
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Jun So-Yeon
Jo Lee-Chan
Lim Seong-Hoon
Hong Bo-Young
Ihn Yon-Kwon
Kim Joon-Sung
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Abstract
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Spinal arteriovenous fistula is the most common vascular malformation of the spinal cord and causes progressive impairment like paraplegia or tetraplegia. Diagnosis of the disease is often challenging because its heterogeneous presentation mimics those of other neurological disorders, such as lumbosacral radiculopathy or peripheral polyneuropathy. Here we report a case of thoracic myelopathy resulting from spinal arteriovenous fistula in a patient treated with chemotherapy. In our clinic, he was diagnosed with spinal arteriovenous fistulas through magnetic resonance imaging and spinal angiography. Electromyography was used to evaluate the clinical features of the patient. Subsequently, he underwent surgery and was transferred to our outpatient department to continue rehabilitation therapy. Eventually, the motor power grade in his lower extremities improved from poor to fair and he was able to walk independently with a wheel walker.
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KEYWORD
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paraplegia, spinal arteriovenous fistula, thoracic myelopathy
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