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KMID : 1001920140550020106
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Journal of Korean Neurosurgical Society
2014 Volume.55 No. 2 p.106 ~ p.109
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Spinal Arteriovenous Fistula with Progressive Paraplegia after Spinal Anaesthesia
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Baltsavias Gerasimos
Argyrakis Nikolaos
Matis Georgios K
Mpata-Tshibemba Stephanie
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Abstract
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A case of an iatrogenic spinal arteriovenous fistula with progressive paraplegia in a young woman is reported. The fistula was eventually created after repetitive lumbar punctures performed in the process of spinal anaesthesia. Her symptoms were progressed to paraplegia over a period of 2 years. The digital subtraction angiography demonstrated a single-hole fistula, involving the anterior spinal artery and vein. The lesion was occluded by embolization with immediate improvement. The potential mechanism is discussed.
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KEYWORD
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Arteriovenous fistula, Iatrogenic lesion, Paraplegia, Spinal anaesthesia
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