中华医学杂志(英文版)2011,Vol.124Issue(4):634-636,3.DOI:10.3760/cma.j.issn.0366-6999.2011.04.029
Acute paraplegia following embolization of spinal dural arteriovenous fistula
Acute paraplegia following embolization of spinal dural arteriovenous fistula
摘要
Abstract
Embolization therapy has been used as the initial treatment for spinal dural arteriovenous fistula (SDAVF) only for certain patients or in certain medical institutions due to its minimal invasiveness, but the recurrence of embolization remains a clinical challenge. The recurrent patient usually exhibits a gradual onset of symptoms and progressive deterioration of neurological function. Developing paraplegia several hours after embolization is commonly seen in patients with venous thrombosis-related complications, for which anticoagulation therapy is often administered. This article reports on a SDAVF patient who had weakness of both lower extremities before embolization and developed complete paraplegia several hours after embolization therapy, later confirmed by angiography as fistula recurrence. The symptoms were relieved gradually after second embolization. The pathophysiology of this patient is also discussed.关键词
spinal cord/arteriovenous fistula/paraplegia/embolization, therapeutic/recurrenceKey words
spinal cord/arteriovenous fistula/paraplegia/embolization, therapeutic/recurrence引用本文复制引用
HUANG Cheng-guang,QI Xiang-qian,CHEN Huai-rui,L(U) Li-quan,WU Xiao-jun,BAI Ru-lin,LU Yi-cheng..Acute paraplegia following embolization of spinal dural arteriovenous fistula[J].中华医学杂志(英文版),2011,124(4):634-636,3.基金项目
This study was supported by a grant from the National Natural Science Foundation of China (No. 30772248). (No. 30772248)