Le Goueff, Anouk and Mavroudakis, Nicolas and Mine, Benjamin and De Witte, Olivier and Remiche, Gauthier (2020) Acute Paraparesis after Epidural Corticosteroid Injection Revealing Spinal Dural Arteriovenous Fistula in a HIV Patient. European Journal of Case Reports in Internal Medicine, 7 (10). pp. 1-3. ISSN ISSN: 2284-2594
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Abstract
Spinal dural arteriovenous fistulas (SDAVFs) are often misdiagnosed as their symptoms are non-specific, leading to treatment delay and a poor outcome. We describe the case of a 53-year-old man with a history of progressive paraparesis that worsened abruptly after an epidural corticosteroid injection. We highlight here the need for high diagnostic suspicion for an SDAVF in patients deteriorating after an epidural injection and an indication of repeated spine imaging in such cases. Finally, this is the first reported case of an SDAVF in a HIV-positive patient and it emphasizes the need for a broad differential diagnosis.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Arteriovenous fistula, paraplegia, spinal cord, epidural analgesia |
| Subjects: | 600 Tecnologia - Scienze applicate 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 15 Dec 2021 13:41 |
| Last Modified: | 15 Dec 2021 13:41 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/21022 |
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