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J Clin Neurosci. 2012 Mar;19(3):466-8. doi: 10.1016/j.jocn.2011.07.027. Epub 2012 Jan 16.

A unique presentation of a spinal dural arteriovenous fistula exacerbated by steroids.

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Department of Neurology, Wake Forest Baptist Health, Medical Center Boulevard, Winston Salem, NC 27157, USA.


Spinal dural arteriovenous fistula (DAVF) is an acquired vascular malformation of the spinal cord that presents as a congestive myelopathy resulting from venous hypertension, edema, and ischemia within the cord. Acute clinical exacerbations have been demonstrated in a variety of clinical settings. We report a unique presentation of a 45-year-old male with progressive paraplegia that acutely worsened following three independent treatments with oral and intravenous steroid administration. Spinal angiogram revealed a spinal DAVF at L3 and the patient underwent successful surgical repair. This report highlights the clinical presentation of spinal DAVF and emphasizes the unique and important potential relationship between steroid administration and clinical deterioration.

[Indexed for MEDLINE]

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