Extensive Spinal Cord Infarction after Surgical Interruption of Thoracolumbar Dural Arteriovenous Fistula Presenting with Subarachnoid Hemorrhage.

Lee, Sang Hun; Kim, Ki Tack; Kim, Sung Min; Jo, Dae Jean

doi:2009.46.1.60

Case Report

Journal of Korean Neurosurgical Society 2009;46(1): 60-64.
doi: https://doi.org/10.3340/jkns.2009.46.1.60

Extensive Spinal Cord Infarction after Surgical Interruption of Thoracolumbar Dural Arteriovenous Fistula Presenting with Subarachnoid Hemorrhage.

Sang Hun Lee, Ki Tack Kim, Sung Min Kim, Dae Jean Jo

¹Department of Orthopaedic Surgery, Spine Center, Kyung Hee University East West Neomedical Center, Seoul, Korea.
²Department of Neurosurgery, Spine Center, Kyung Hee University East West Neomedical Center, Seoul, Korea. apuzzo@hanmail.net

ABSTRACT

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.

Key Words: Dural arteriovenous fistula; Subarachnoid hemorrhage; Spinal cord infarction