AI Article Synopsis
- - Foix-Alajouanine syndrome is characterized by sudden neurological decline due to a spinal dural arteriovenous fistula.
- - A case study highlights a young patient who experienced an unusual onset of the syndrome after a clinic visit, demonstrating that urgent surgery can restore neurological function even after paralysis.
- - The study suggests that venous hypertension is the main issue in these cases, contradicting older beliefs that they are caused by permanent venous blockages leading to tissue death.
Article Abstract
Background: Foix-Alajouanine syndrome is defined as acute neurologic deterioration in the setting of a spinal dural arteriovenous fistula.
Case Description: This case report on a young patient with an unusual clinical onset of Foix-Alajouanine syndrome coincidentally occurring after his outpatient clinic appointment illustrates how prompt surgical treatment can result in rapid recovery of neurologic function despite preoperative paraplegia.
Conclusions: Venous hypertension with subsequent rapid resolution after surgical treatment is the pathophysiological mechanism underlying a dural arteriovenous fistula, in contrast to historical views suggesting that these lesions result from irreversible venous thrombosis, resulting in necrotic myelopathy.
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| http://dx.doi.org/10.1016/j.wneu.2016.10.101 | DOI Listing |
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