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  • Title: Rapid Recovery from Paraplegia in a Patient with Foix-Alajouanine Syndrome.
    Author: Joswig H, Haji FA, Martinez-Perez R, Steven DA, Boulton MR.
    Journal: World Neurosurg; 2017 Jan; 97():750.e1-750.e3. PubMed ID: 27794514.
    Abstract:
    BACKGROUND: Foix-Alajouanine syndrome is defined as acute neurologic deterioration in the setting of a spinal dural arteriovenous fistula. CASE DESCRIPTION: This case report on a young patient with an unusual clinical onset of Foix-Alajouanine syndrome coincidentally occurring after his outpatient clinic appointment illustrates how prompt surgical treatment can result in rapid recovery of neurologic function despite preoperative paraplegia. CONCLUSIONS: Venous hypertension with subsequent rapid resolution after surgical treatment is the pathophysiological mechanism underlying a dural arteriovenous fistula, in contrast to historical views suggesting that these lesions result from irreversible venous thrombosis, resulting in necrotic myelopathy.
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