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.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3958573 | PMC |
| http://dx.doi.org/10.3340/jkns.2014.55.2.106 | DOI Listing |
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