59 results match your criteria: "Foix-Alajouanine Syndrome"

Background: Venous hypertensive myelopathy (VHM), formerly known as "Foix-Alajouanine syndrome," is a spinal cord dysfunction caused by impaired perfusion of the spinal cord. Most cases are attributed to spinal dural arteriovenous fistulas (dAVFs), but there are scattered reports of VHM without concomitant dAVF. Furthermore, no cases of VHM associated with intracranial hemorrhage exist.

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The Foix-Alajouanine syndrome was originally reported by these authors in 1926, as rapidly progressive vasculitis on the background of a viral infection. The pathology was represented by the huge, more than 10 times, dilation either of the lumen, or the walls of the spinal vessels, either of the arteries, or the veins. There were no signs of thrombosis, no malformations.

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Acute paraparesis: do not miss Foix-Alajouanine syndrome.

Arq Neuropsiquiatr

September 2024

Universidade Federal de Pernambuco, Centro de Ciências Médicas, Divisão de Neuropsiquiatria, Recife PE, Brazil.

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Beyond the Neurologist: Charles Foix as a Poet and a Playwright.

Eur Neurol

August 2024

Department of Neurology, Instituto de Neurologia de Curitiba, Curitiba, Brazil.

Article Synopsis
  • Charles Foix (1882-1927) is recognized for his contributions to vascular neurology and for syndromes bearing his name, but he also had a significant literary career.
  • His poetry and plays, often focusing on biblical and Greek mythological themes, were influenced by his experiences as a medical officer during the First World War in Greece.
  • The authors analyze how Foix's literary works relate to his medical career and the impact of his wartime experiences on his writing.
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Foix-Alajouanine syndrome is a rare cause of spinal dural arteriovenous fistula that can cause irreversible myelopathy and paraplegia if not treated promptly. The complex nature of this pathology often leads to missed or delayed diagnosis regardless of broad workups executed. We present a symptomatically classic Foix-Alajouanine 68-year-old patient with an accelerated progression reaching stages of severe myelopathy in less than a year.

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Foix-Alajouanine Syndrome: A Case Report.

Cureus

March 2023

Department of Neurosurgery, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, MEX.

Article Synopsis
  • Foix-Alajouanine syndrome is a rare spinal condition caused by an arteriovenous malformation, leading to myelopathy in the thoracic and lumbar regions.
  • A case study focused on a 46-year-old woman who experienced symptoms like lower limb weakness, sensory loss, back pain, urinary incontinence, and constipation, with imaging revealing abnormal signals from enlarged arteries.
  • Diagnosis can be tricky, often leading to misdiagnosis, but dilated vessels in the posterior epidural space visible on MRIs help in identification; treatments include surgery or endovascular embolization.
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Article Synopsis
  • There are specific spinal cord conditions that emergency departments need to consider when patients show focal neurological deficits, which require thorough history-taking and neurological examination.
  • A case study is presented involving a patient with an unusual spinal cord arteriovenous malformation leading to Foix-Alajouanine syndrome, mimicking symptoms of spinal cord compression.
  • Emergency physicians should recognize Foix-Alajouanine syndrome due to its unique diagnostic and management approaches compared to more common spinal conditions.
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Article Synopsis
  • Foix-Alajouanine syndrome is a rare condition linked to spinal AVM, mainly affecting the lower thoracic and lumbosacral areas, resulting in symptoms like back pain, leg weakness, and balance issues.
  • A case study of a 48-year-old man is presented, highlighting the importance of MRI in diagnosing this syndrome despite angiography's potential inconclusiveness.
  • Key MRI indicators include enlarged perimedullary blood vessels that show signal voids due to fast blood flow on T1 and T2 weighted images.
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Background: Spinal dural arteriovenous fistulas (SDAVF) are rare with an incidence of 5-10/million annually. They can be difficult to diagnose causing a delay in treatment with significant morbidity. We describe the first case in the literature of a symptomatic mirror lumbar SDAVF which may go unnoticed due to its unique vascular anatomy.

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Foix-Alajouanine Syndrome Mimicking Longitudinally Extensive Transverse Myelitis.

Eur J Case Rep Intern Med

November 2020

Department of Neurology, Henry Ford Health System, Detroit, Michigan, USA.

Unlabelled: Foix-Alajouanine syndrome is an arteriovenous malformation causing subacute congestive myelopathy that can lead to progressive paraplegia. It typically affects the lower thoracic and lumbosacral levels. Arteriovenous fistula (AVF) leads to increased venous pressure, decreasing the arteriovenous pressure gradient and leading to a decrease in spinal cord perfusion, oedema and necrosis.

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Foix-Alajouanine syndrome mimicking a spinal cord tumor.

Rev Assoc Med Bras (1992)

July 2017

Division of Neurosurgery, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.

Article Synopsis
  • Subacute necrotizing myelopathy (SNM), also known as Foix-Alajouanine syndrome, is a rare neurological disorder caused by a spinal dural arteriovenous fistula (AVF).
  • Diagnosis typically involves imaging that shows unusual spinal cord changes, but ring-enhancement can complicate matters, leading to potential misdiagnosis as a tumor.
  • A case study highlights how a patient with SNM had to undergo a biopsy due to the confusion with a spinal cord tumor, illustrating the diagnostic challenges of this condition.
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Article Synopsis
  • * The patient's symptoms evolved over three months, leading to significant neurological issues, and became evident through imaging and angiography, which ultimately identified the DAVF.
  • * Following surgical intervention, which successfully removed the fistula, the patient experienced a complete resolution of symptoms and regained full motor function, underscoring the importance of recognizing atypical presentations of DAVFs.
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Dural Arteriovenous Fistula and Foix-Alajouanine Syndrome: Assessment of Functional Scores with Review of Pathogenesis.

World Neurosurg

October 2017

Department of Neurosurgery, Ronald Reagan UCLA Medical Center, Los Angeles, California, USA; Department of Radiation Oncology, Ronald Reagan UCLA Medical Center, Los Angeles, California, USA; Department of Head and Neck Surgery, Ronald Reagan UCLA Medical Center, Los Angeles, California, USA; Jonsson Comprehensive Cancer Center, Ronald Reagan UCLA Medical Center, Los Angeles, California, USA; Department of Neurosurgery, Harbor-UCLA Medical Center, Torrance, California, USA; Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance, California, USA. Electronic address:

Article Synopsis
  • The study aimed to evaluate functional scores in patients with dural arteriovenous fistula and Foix-Alajouanine syndrome using established scoring systems (ALS and mRS) to create a new score called the Aminoff-Rankin Composite (ARC).
  • Researchers analyzed data from 18 patients, comparing outcomes between those who underwent surgery versus those who had embolization, finding no significant difference in overall functional scores or symptom improvement between the two treatments.
  • Results indicated that higher pre-intervention functional scores correlated with better symptom improvement post-treatment, suggesting effective diagnosis and management can lead to enhanced patient outcomes reflected in lower functional scores.
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Rapid Recovery from Paraplegia in a Patient with Foix-Alajouanine Syndrome.

World Neurosurg

January 2017

Division of Neurosurgery, Department of Clinical Neurological Sciences, London Health Sciences Centre, University Hospital, London, Ontario, Canada.

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.
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Foix-Alajouanine syndrome (FAS), also known as congestive myelopathy due to spinal vascular malformations, presents with paraplegia, sensory disturbance of lower limbs, and dysfunction of the bladder and rectum. Although FAS is characterized by a subacute onset of neurological symptoms that may wax and wane over a few years, the progression mechanism remains unclear. We report a case of FAS due to an angiographically occult arteriovenous fistula (AVF) that was diagnosed by an open surgical biopsy and intraoperative indocyanine green (ICG) angiography.

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Background: Spinal arteriovenous malformations (AVMs) can lead to development of congestive myelopathy (Foix-Alajouanine syndrome). Spinal AVMs are rare and so is this syndrome. Diagnosis is often missed due to its rarity and confusing definitions of the Foix-Alajouanine syndrome.

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Article Synopsis
  • The article discusses Foix-Alajouanine syndrome (FAS) and presents three case studies involving two men and one woman diagnosed with the condition.
  • The clinical progression of FAS is characterized by five identifiable stages, with potential short-term fluctuations in neurological symptoms.
  • Treatment for FAS prioritizes surgery, alongside early use of high-dose anticoagulants, antiviral medications, and other supportive therapies to prevent complications.
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Foix-alajouanine syndrome presenting as acute cauda equina syndrome: a case report.

Global Spine J

December 2014

Department of Radiology, Khoula Hospital, Mina al Fahal, Muscat, Sultanate of Oman.

Article Synopsis
  • This case report presents an adult male who developed acute cauda equina syndrome symptoms, including severe back pain, leg weakness, and bladder/bowel issues.
  • Emergency imaging revealed no spinal compressive lesions but indicated spinal arteriovenous malformation, leading to a diagnosis of Foix-Alajouanine syndrome.
  • The patient was successfully treated with endovascular embolization, highlighting the importance of considering this syndrome in similar clinical cases.
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Background Context: Spinal dural arteriovenous fistula (SDAVF) is a slow-flow extramedullary vascular lesion affecting primarily the lower thoracic and lumbar spine. The clinical sequela of these vascular changes is progressive myelopathy and severe lower-extremity weakness. Although surgical or embolic treatment of SDAVFs has improved significantly in the last years, the ambiguity of the symptoms may complicate and delay the diagnosis.

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Spinal arteriovenous fistulas are rare entities. They often present with congestive myelopathy but are infrequently diagnosed as the cause of the patients' symptoms. Only one such case has been described previously in Indian literature.

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Thoracic venous congestion caused by thoracic disc herniation.

Brain Behav

May 2013

Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York Buffalo, New York.

We present what is to our knowledge the first reported case of thoracic disc herniation leading to venous congestive myelopathy (VCM), which was clinically and radiographically suggestive of Foix-Alajouanine syndrome (angiodysgenetic necrotizing myelopathy). In addition, we review current concepts in evaluating the etiology of VCM and discuss indications for surgery.

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Background: Venous congestive myelopathy is a progressive myelopathy that is generally caused by a spinal dural arteriovenous fistula.

Case Description: We report a patient with histologically confirmed venous congestive myelopathy without concurrent vascular malformations in radiological and intraoperative findings.

Conclusions: The definitive underlying etiology of this congestive myelopathy was unclear.

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Spinal arteriovenous malformations (AVM) have been devided into dural (Type I), intramedullary glomus (Type II), juvenile (Type III), and perimedullary direct arteriovenous fistulae (Type IV). AVMs are usually associated with subacute myelopathy in what has been known as Foix-Alajouanine syndrome. We presented two patients with two intradural spinal arteriovenous malformations associated in what we call Foix-Alajouanine syndrome.

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