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South Med J. 2005 May;98(5):567-9.

Foix-Alajouanine syndrome: an uncommon cause of myelopathy from an anatomic variant circulation.

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  • 1Department of Internal Medicine and Section of Hospital and Peri-operative Medicine, Cleveland Clinic Foundation, Cleveland, OH, USA. rajnishroger@yahoo.com


Foix-Alajouanine syndrome is a rare cause of myelopathy caused by dural arteriovenous malformation of the spinal cord, mostly lower thoracic and lumbar. Patients are usually over 50 years of age and can present with acute lower extremity dysesthesias or intermittent sciatica. Progression to paraplegia may be slow. Spinal angiography is needed for definitive diagnosis, based on the clues provided by the symptoms. If diagnosed early, vascular embolization or neurosurgical excision may be curative.

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