Paraplegia following lumbar puncture: a rare complication in spinal dural arteriovenous fistula

2018 ◽  
Vol 118 (4) ◽  
pp. 543-545
Author(s):  
Arman Çakar ◽  
Halil İbrahim Akçay ◽  
Tuncay Gündüz ◽  
Murat Kürtüncü
Keyword(s):  
Arteriovenous Fistula ◽  
Lumbar Puncture ◽  
Dural Arteriovenous Fistula ◽  
Rare Complication ◽  
Spinal Dural Arteriovenous Fistula

scholarly journals Paraplegia after contrast media application: a transient or devastating rare complication? Case report

2016 ◽  
Vol 24 (5) ◽  
pp. 806-809 ◽  
Author(s):  
Dorothee Mielke ◽  
Kai Kallenberg ◽  
Marius Hartmann ◽  
Veit Rohde
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Contrast Media ◽  
Arteriovenous Fistula ◽  
Digital Subtraction Angiography ◽  
Dural Arteriovenous Fistula ◽  
Rare Complication ◽  
Digital Subtraction ◽  
Spinal Dural Arteriovenous Fistula ◽  
The Individual

The authors report the case of a 76-year-old man with a spinal dural arteriovenous fistula. The patient suffered from sudden repeated reversible paraplegia after spinal digital subtraction angiography as well as CT angiography. Neurotoxicity of contrast media (CM) is the most probable cause for this repeated short-lasting paraplegia. Intolerance to toxicity of CM to the vulnerable spinal cord is rare, and probably depends on the individual patient. This phenomenon is transient and can occur after both intraarterial and intravenous CM application.

scholarly journals Unusual Presentation of Transient Encephalopathy from Angiographic Contrast, After Neurointerventional Procedure.

2020 ◽  
pp. 1-4
Keyword(s):  
Contrast Media ◽  
Arteriovenous Fistula ◽  
Blood Brain Barrier ◽  
Dural Arteriovenous Fistula ◽  
Rare Complication ◽  
Cortical Blindness ◽  
Neurological Deficits ◽  
Rare Entity ◽  
Diagnostic Challenge ◽  
Spinal Dural Arteriovenous Fistula

Abstract Neurotoxicity from contrast media used in angiography is a rare complication from these procedures caused by disruption of the blood–brain-barrier (BBB), most of the time presenting as cortical blindness. The infrequency with which it is encountered makes it a diagnostic challenge. We present the case of a 64-year-old male who developed right hemianopsia, prosopagnosia and hallucinations after embolization of a cervical spinal dural arteriovenous fistula. The neurological deficits which appeared after the procedure, regressed completely after 48 hours. This rare entity should be kept in mind but diagnosed only when all other causes have been ruled out.

Spinal dural arteriovenous fistula presenting with paraplegia following lumbar puncture

2013 ◽  
Vol 19 (1) ◽  
pp. 57-60 ◽  
Author(s):  
Guus Koerts ◽  
Vincent Vanthuyne ◽  
Maxime Delavallee ◽  
Herbert Rooijakkers ◽  
Christian Raftopoulos
Keyword(s):  
Arteriovenous Fistula ◽  
Lumbar Puncture ◽  
Dural Arteriovenous Fistula ◽  
Treatment Options ◽  
Venous Hypertension ◽  
Spinal Dural Arteriovenous Fistula ◽  
Segmental Artery ◽  
Arteriovenous Fistulas ◽  
Underlying Mechanisms ◽  
Spinal Dural Arteriovenous Fistulas

Spinal dural arteriovenous fistulas are rare lesions with an annual incidence of 1 per 100,000 population. In patients with this disease, an abnormal vascular dural shunt exists between a dural branch of a segmental artery and a subdural radicular vein that drains the perimedullary venous system, leading to venous hypertension and secondary congestive myelopathy. Generally, patients present with progressive paraparesis, urinary disturbances, and gait ataxia. In this report the authors describe a 61-year-old woman with a spinal dural arteriovenous fistula who developed an acute paraplegia after a nontraumatic lumbar puncture. The possible underlying mechanisms and treatment options are discussed.

Spinal Dural Arteriovenous Fistula: Diagnosis and Treatment

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Nur Setiawan Suroto
Keyword(s):  
Spinal Cord ◽  
Arteriovenous Fistula ◽  
Vascular Malformation ◽  
Dural Arteriovenous Fistula ◽  
Motor Symptoms ◽  
Elderly Men ◽  
Spinal Dural Arteriovenous Fistula ◽  
Sensory Disturbances ◽  
Av Fistulas ◽  
Low Rate

Spinal dural arteriovenous (AV) fistulas are the most commonly encountered vascular malformation of the spinal cord and a treatable cause for progressive paraplegia or tetraplegia. They most commonly affected are elderly men and are classically found in the thoracolumbar region.Symptoms gradually progress or decline in a stepwise manner and are commonly associated with pain and sphincter disturbances. Surgical or endovascular disconnection of the fistula has a high success rate with a low rate of morbidity. Motor symptoms are most likely to improve after treatment, followed by sensory disturbances, and lastly sphincter disturbances.

Central Venous Occlusion in End-Stage Renal Failure—A Rare Mimic of Dural Arteriovenous Fistula (DAVF)

2021 ◽  
Vol 4 (1) ◽  
pp. 81-83
Author(s):  
Sharath Kumar Goddu Govindappa ◽  
Lakshminarayanapuram Gopal Viswanathan ◽  
Shashidhar Kallappa Parameshwarappa ◽  
Naveen Nayak ◽  
Sujit Kumar ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Rare Complication ◽  
Venous Occlusion ◽  
Venous Hypertension ◽  
Brachiocephalic Vein ◽  
Central Venous ◽  
Av Fistula ◽  
Central Venous Occlusion ◽  
End Stage

Intracerebral hemorrhage is a devastating form of stroke and is more common in patients with hypertension and renal disease. We present the case of a lady suffering from chronic kidney disease who presented with severe headache and aphasia. On evaluation, she was found to have an intraparenchymal hemorrhage in the left temporal lobe with prominent pial and dural veins suggestive of a dural arteriovenous fistula (DAVF). Subsequently, she was detected to have occlusion of the left brachiocephalic vein (LBCV), which resulted in venous hypertension and resulted in this rare complication. Angioplasty followed by stenting of the LBCV resulted in subsidence of her symptoms. We wish to highlight this unusual but treatable complication of limb AV fistula which can mimic intracranial DAVF.

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