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

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.