A refractory lower extremity variceal ulcer associated with perimedullary arteriovenous fistula

被引：1

作者：

Ye, Feng ^{[1
]}

Wang, Tongyu ^{[1
]}

You, Chao ^{[1
]}

Jiang, Shu ^{[1
]}

He, Min ^{[1
]}

机构：

[1] Sichuan Univ, West China Hosp, Dept Neurosurg, Chengdu, Peoples R China

来源：

NEUROLOGY | 2015年 / 84卷 / 17期

关键词：

D O I：

10.1212/WNL.0000000000001527

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 16-year-old male presented with a 3-year history of bilateral lower limb paresthesia and a refractory ulcer next to the swollen right medial malleolus (figure 1A). Lumbar MRI revealed a spinal vascular malformation (figure 2A). Digital subtraction angiography demonstrated a giant perimedullary arteriovenous fistula (PMAVF)(1) originating from an anterior spinal artery at T10-11, draining into the inferior vena cava, and a few vascular malformations involving the right ankle (figure 2, B-F). Combination surgery and embolization was successfully performed for the PMAVF. Of note, the ulcer resolved without any direct treatment within 7 days (figure 1B).

引用

页码：1821 / 1822

页数：2