open access

Vol 12, No 3 (2006)
Case reports
Published online: 2006-08-01
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Spinal arteriovenous malformation as a cause of flaccid paresis of lower limbs

Barbara Gaweł, Andrzej Wajgt, Bartosz Chłopicki, Leszek Lubos, Anna Zagórska
Acta Angiologica 2006;12(3):117-123.

open access

Vol 12, No 3 (2006)
Case reports
Published online: 2006-08-01

Abstract

The authors of the paper have wanted to approach to a rider clinical and diagnostic examinations' value in a recognition of spinal arteriovenous malformation. The case of spinal arteriovenous malformation in Th7-L1 segment was described the patient in his fifty with flaccid paresic of lower limbs. Because the result of computed tomography (CT) examination of L5-S1 spinal canal didn't explain patient's clinical state, magnetic resonance (MR) examination of lumbar and thoracal segment of spinal canal was done. After an administration of a MR image. These structures were laid along back and side surface of the spinal canal, extending from Th7-Th8 to L1 level. An extramedullary arteriovenous malformation in consequence of venous congestion causes a myelopathy, which is convertible by correct diagnostics and by application of suitable treatment. Vascular examination with application of intravenous contrast medium by contrast enhanced magnetic resonance angiography (CE-MRA) in SE sequence enable an estimation of soft tissues and vascular system of spinal cord. This examination dispels diagnostic doubts and it makes taking up proper treatment.

Abstract

The authors of the paper have wanted to approach to a rider clinical and diagnostic examinations' value in a recognition of spinal arteriovenous malformation. The case of spinal arteriovenous malformation in Th7-L1 segment was described the patient in his fifty with flaccid paresic of lower limbs. Because the result of computed tomography (CT) examination of L5-S1 spinal canal didn't explain patient's clinical state, magnetic resonance (MR) examination of lumbar and thoracal segment of spinal canal was done. After an administration of a MR image. These structures were laid along back and side surface of the spinal canal, extending from Th7-Th8 to L1 level. An extramedullary arteriovenous malformation in consequence of venous congestion causes a myelopathy, which is convertible by correct diagnostics and by application of suitable treatment. Vascular examination with application of intravenous contrast medium by contrast enhanced magnetic resonance angiography (CE-MRA) in SE sequence enable an estimation of soft tissues and vascular system of spinal cord. This examination dispels diagnostic doubts and it makes taking up proper treatment.
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Keywords

spinal arteriovenous malformation; diagnostics; treatment

About this article
Title

Spinal arteriovenous malformation as a cause of flaccid paresis of lower limbs

Journal

Acta Angiologica

Issue

Vol 12, No 3 (2006)

Pages

117-123

Published online

2006-08-01

Bibliographic record

Acta Angiologica 2006;12(3):117-123.

Keywords

spinal arteriovenous malformation
diagnostics
treatment

Authors

Barbara Gaweł
Andrzej Wajgt
Bartosz Chłopicki
Leszek Lubos
Anna Zagórska

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