脊髓硬脊膜动静脉瘘1例报道并文献复习

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Abstract In this article, 1 Spinal dural arteriovenous fistula was reported. The onset signs of SDAVF include lower limb weakness, urination and defecation difficulties, and sensory disturbance. With atypical early clinical symptoms in most cases, it is susceptible to clinical underdiagnosis or misdiagnosis. The reported case was found with past medical history of cerebral hemorrhage, whose condition improved after medical treatment, but still had right limb weakness.Before August, he was found with the weakness in both lower limbs, local hospital considered the recurrence of cerebrovascular disease, but didn′t check up spinal cord, which led to the early misdiagnosis. At the Second Affiliated Hospital of Zunyi Medical University, this case was identified with spinal cord lesions and spinal vascular malformation by spinal cord MRI examination in consideration of the condition. The general consideration of clinical l symptoms, signs and spinal cord imaging findings led to the definitive diagnosis of SDAVF. The report and literature review of the case is expected to provide an insight into SDAVF and improve the ability of doctors to treat the disease.

Key words： Weakness of lower limbs Dysuria Spinal MRI Spinal dura mater Arteriovenous fistula

Received: 20 February 2021

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I19/227

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