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CASE REPORT
Year : 2018  |  Volume : 4  |  Issue : 2  |  Page : 75-78

Imagining findings can be misleading; clinical correlation is must: A rare case of spinal cord A-V malformation masquerading radiculopathy


1 Fellow, Department of Interventional Pain Management, Daradia Pain Clinic, Kolkata, West Bengal, India
2 Director, Department of Pain Management, Daradia Pain Clinic, Kolkata, West Bengal, India
3 Fellow, Department of Pain Management, Daradia Pain Clinic, Kolkata, West Bengal, India

Correspondence Address:
Karan M Patel
Fellow, Department of Interventional Pain Management, Daradia Pain Clinic, Kolkata, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10046-0110

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Spinal dural arteriovenous fistulas (SDAVF), is a clinical condition that can pose a challenge to the clinicians both in the diagnosis as well as treatment. This rare disorder can present with certain nonspecific symptoms and signs, including gait abnormality or lower-limb sensory or motor weakness. Symptoms may progress gradually or in some cases decline over a period. It can be treated surgically or through an endovascular approach involving disconnection of the fistula to make a prompt diagnosis, detailed history and proper neurological examination along with correlated imagine findings is the right way. We encountered a patient having long-standing bilateral lower limb weakness and sensory disturbances for which he was operated twice at different levels, with partial improvement. By a combination of detailed neurological examination and appropriate diagnostic imaging, we concluded that an arterio-venous (AV) malformation at the mid-thoracic spinal cord level was the causative factor for the same which is proposed below.


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