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Spinal Arteriovenous Fistula with Progressive Paraplegia after Spinal Anaesthesia
Baltsavias, Gerasimos,Argyrakis, Nikolaos,Matis, Georgios K.,Mpata-Tshibemba, Stephanie The Korean Neurosurgical Society 2014 Journal of Korean neurosurgical society Vol.55 No.2
A case of an iatrogenic spinal arteriovenous fistula with progressive paraplegia in a young woman is reported. The fistula was eventually created after repetitive lumbar punctures performed in the process of spinal anaesthesia. Her symptoms were progressed to paraplegia over a period of 2 years. The digital subtraction angiography demonstrated a single-hole fistula, involving the anterior spinal artery and vein. The lesion was occluded by embolization with immediate improvement. The potential mechanism is discussed.