1. Foix-Alajouanine Syndrome Mimicking Longitudinally Extensive Transverse Myelitis
- Author
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Anirudha S Rathnam and Anza B. Memon
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,longitudinally extensive transverse myeliti ,spinodural arteriovenous fistula ,lcsh:Medicine ,Arteriovenous fistula ,Transverse myelitis ,Foix–Alajouanine syndrome ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,Myelopathy ,0302 clinical medicine ,Internal Medicine ,medicine ,Embolization ,artery of adamkiewicz ,business.industry ,lcsh:R ,food and beverages ,Arteriovenous malformation ,Articles ,medicine.disease ,sdaf ,Radiology ,Paraplegia ,business ,030217 neurology & neurosurgery ,Lumbosacral joint ,letm - Abstract
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. Early recognition and surgical intervention can result in a good prognosis. LEARNING POINTS: Spinodural arteriovenous fistula (SDAF) can present with longitudinally extensive transverse myelitis (LETM), progressive gait instability, and lower extremity weakness. Failure to promptly recognize this condition and misdiagnosis can result in a poor outcome. Microsurgical obliteration of the SDAF provides better results than embolization. more...
- Published
- 2020
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