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  • Title: Acquired Spinal Arteriovenous Fistula Presenting as Brown-Séquard Syndrome and Endovascular Treatment Outcome.
    Author: Humaira R, To CY, Moudgil S, Fessler R.
    Journal: World Neurosurg; 2016 Dec; 96():613.e1-613.e4. PubMed ID: 27593715.
    Abstract:
    BACKGROUND: Brown-Séquard syndrome is typically caused by penetrating trauma to the cervical spinal cord; however, other compressive and vascular occlusive etiologies have been previously described. It is extremely uncommon to have a delayed presentation as an extramedullary compressive lesion from the venous varix of an acquired spinal arteriovenous fistula. CASE DESCRIPTION: We present a case of a patient in the fifth decade of life, with a remote history of gunshot wound to the left thorax with progressive left-sided weakness and contralateral pain and temperature sensory loss secondary to cord compression from an acquired spinal arteriovenous fistula. CONCLUSIONS: Subsequent treatment occurred with coil embolization with good outcome.
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