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KMID : 1001920090460010060
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Journal of Korean Neurosurgical Society
2009 Volume.46 No. 1 p.60 ~ p.64
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Extensive Spinal Cord Infarction after Surgical Interruption of Thoracolumbar Dural Arteriovenous Fistula Presenting with Subarachnoid Hemorrhage
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Lee Sang-Hoon
Kim Ki-Tack
Kim Sung-Min
Jo Dae-Jean
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Abstract
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Nontraumatic intracranial subarachnoid hemorrhage (SAH) attributable to the thoracolumbar dural arteriovenous fistulas (DAVFs) has been extremely rare. A 41-year-old male patient was admitted with severe acute headache, neck stiffness, and pronounced low-back pain radiating to both legs. The T2-weighted MR imaging showed irregular signal void and enlarged, varix like pouch formation with spinal cord compression at the T11-12 level. The angiogram revealed a DAVF.
We report a DAVF case with SAH that revealed an extensive infarction from C5 to the conus medullaris after undergoing operative treatment.
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KEYWORD
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Dural arteriovenous fistula, Subarachnoid hemorrhage, Spinal cord infarction
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