Acute Paraparesis after Epidural Corticosteroid Injection Revealing Spinal Dural Arteriovenous Fistula in a HIV Patient
Spinal dural arteriovenous fistulas (SDAVFs) are often misdiagnosed as their symptoms are non-specific, leading to treatment delay and a poor outcome. We describe the case of a 53-year-old man with a history of progressive paraparesis that worsened abruptly after an epidural corticosteroid injecti...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SMC MEDIA SRL
2020-07-01
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| Series: | European Journal of Case Reports in Internal Medicine |
| Subjects: | |
| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/1673 |
| _version_ | 1828961311132745728 |
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| author | Anouk Le Goueff Nicolas Mavroudakis Benjamin Mine Olivier De Witte Gauthier Remiche |
| author_facet | Anouk Le Goueff Nicolas Mavroudakis Benjamin Mine Olivier De Witte Gauthier Remiche |
| author_sort | Anouk Le Goueff |
| collection | DOAJ |
| description | Spinal dural arteriovenous fistulas (SDAVFs) are often misdiagnosed as their symptoms are non-specific, leading to treatment delay and a poor outcome.
We describe the case of a 53-year-old man with a history of progressive paraparesis that worsened abruptly after an epidural corticosteroid injection. We highlight here the need for high diagnostic suspicion for an SDAVF in patients deteriorating after an epidural injection and an indication of repeated spine imaging in such cases.
Finally, this is the first reported case of an SDAVF in a HIV-positive patient and it emphasizes the need for a broad differential diagnosis. |
| first_indexed | 2024-12-14T09:44:58Z |
| format | Article |
| id | doaj.art-0b70830d8ef3485ab80c275cc24a97aa |
| institution | Directory Open Access Journal |
| issn | 2284-2594 |
| language | English |
| last_indexed | 2024-12-14T09:44:58Z |
| publishDate | 2020-07-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj.art-0b70830d8ef3485ab80c275cc24a97aa2022-12-21T23:07:41ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942020-07-0110.12890/2020_0016731309Acute Paraparesis after Epidural Corticosteroid Injection Revealing Spinal Dural Arteriovenous Fistula in a HIV PatientAnouk Le Goueff0Nicolas Mavroudakis1Benjamin Mine2Olivier De Witte3Gauthier Remiche4Internal Medicine Department, Hôpital Erasme, Université Libre de Bruxelles, Brussels, BelgiumCentre de Référence Neuromusculaire, Service de Neurologie, Hôpital Erasme, Université Libre de Bruxelles, Brussels, BelgiumInterventional Neuroradiology Department, Hôpital Erasme, Université Libre de Bruxelles, Brussels, BelgiumNeurosurgery Department, Hôpital Erasme, Université Libre de Bruxelles, Brussels, BelgiumCentre de Référence Neuromusculaire, Service de Neurologie, Hôpital Erasme, Université Libre de Bruxelles, Brussels, BelgiumSpinal dural arteriovenous fistulas (SDAVFs) are often misdiagnosed as their symptoms are non-specific, leading to treatment delay and a poor outcome. We describe the case of a 53-year-old man with a history of progressive paraparesis that worsened abruptly after an epidural corticosteroid injection. We highlight here the need for high diagnostic suspicion for an SDAVF in patients deteriorating after an epidural injection and an indication of repeated spine imaging in such cases. Finally, this is the first reported case of an SDAVF in a HIV-positive patient and it emphasizes the need for a broad differential diagnosis.https://www.ejcrim.com/index.php/EJCRIM/article/view/1673arteriovenous fistulaparaplegiaspinal cordepidural analgesia |
| spellingShingle | Anouk Le Goueff Nicolas Mavroudakis Benjamin Mine Olivier De Witte Gauthier Remiche Acute Paraparesis after Epidural Corticosteroid Injection Revealing Spinal Dural Arteriovenous Fistula in a HIV Patient European Journal of Case Reports in Internal Medicine arteriovenous fistula paraplegia spinal cord epidural analgesia |
| title | Acute Paraparesis after Epidural Corticosteroid Injection Revealing Spinal Dural Arteriovenous Fistula in a HIV Patient |
| title_full | Acute Paraparesis after Epidural Corticosteroid Injection Revealing Spinal Dural Arteriovenous Fistula in a HIV Patient |
| title_fullStr | Acute Paraparesis after Epidural Corticosteroid Injection Revealing Spinal Dural Arteriovenous Fistula in a HIV Patient |
| title_full_unstemmed | Acute Paraparesis after Epidural Corticosteroid Injection Revealing Spinal Dural Arteriovenous Fistula in a HIV Patient |
| title_short | Acute Paraparesis after Epidural Corticosteroid Injection Revealing Spinal Dural Arteriovenous Fistula in a HIV Patient |
| title_sort | acute paraparesis after epidural corticosteroid injection revealing spinal dural arteriovenous fistula in a hiv patient |
| topic | arteriovenous fistula paraplegia spinal cord epidural analgesia |
| url | https://www.ejcrim.com/index.php/EJCRIM/article/view/1673 |
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