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Journal of Korean Neurosurgical Society 2003;34(3): 258-261.
Spinal Dural Arteriovenous Fistula from Lateral Sacral Artery.
Kwan Woong Park, Seung Chul Rhim, Dae Chul Suh, Sung Woo Roh
1Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. scrhim@amc.seoul.kr
2Department of Radiology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.
ABSTRACT
The authors report a rare case of spinal dural arteriovenous fistula (DAVF) that supplied by lateral sacral artery. A 71-year-old female initially presented with paraparesis and boring pain on lower extremities. Though magnetic resonance imaging suggested a possible spinal DAVF, routine angiographic evaluation was negative. Thereafter, the patient deteriorated progressively and became paraplegic. Definite diagnosis was made through selective pelvic angiogram. The patient was subsequently treated with embolization using mixture of glue and lipiodol. On three months after the embolization, the patient remained paraplegic, but her leg pain was improved remarkably.
Key Words: Spinal dural arteriovenous fistula; Lateral sacral artery; Selective pelvic angiogram; Embolization
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