Abstract
We present a patient who had progressive paraparesis. Left lateromedial disc herniation was diagnosed at T10 to T11 level on MR imaging. This was operated on, but 3 months later paraparesis worsened and then a suspicion of spinal vascular malformation arose. Spinal angiogram showed dural arteriovenous fistula at T11 level on the right side. This was operated on, and the patient's clinical condition improved. This case shows how difficult the diagnosis of spinal dural arteriovenous fistulas may be.
Zusammenfassung
Es wird über einen Patienten mit progressiver Paraparese berichtet. Bei ihm wurde ein linksseitiger mediolateraler Bandscheibenvorfall, BWK 10/11 diagnostiziert und operiert. Im Verlauf von drei Monaten verschlechterte sich jedoch die Paraparese, und man erhob die Verdachtsdiagnose einer spinalen vaskulären Malformation. Die Spinalangiographie wies eine durale arteriovenöse Fistel in Höhe des elften Brustwirbelkörpers nach. Nach deren operativer Exstirpation besserte sich der klinische Zustand des Patienten.
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Porras, M., Kotilainen, P. Thoracic disc herniation and dural arteriovenous fistula at the same level of the Spine. Klin Neuroradiol 9, 96–99 (1999). https://doi.org/10.1007/BF03043385
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DOI: https://doi.org/10.1007/BF03043385