Acta Neurologica Belgica https://doi.org/10.1007/s13760-018-0951-7 LE T TER TO THE EDITOR Paraplegia following lumbar puncture: a rare complication in spinal dural arteriovenous fistula 1 1 1 1 Arman Çakar · Halil İbrahim Akçay · Tuncay Gündüz · Murat Kürtüncü Received: 16 May 2018 / Accepted: 20 May 2018 © Belgian Neurological Society 2018 Background bilaterally, and urinary retention. His complete blood count and routine blood biochemistry tests were within normal Spinal dural arteriovenous fistula (SDAVF) is the most com- limits. The patient’s thoracic spinal MRI revealed an exten- mon vascular disorder in the spinal cord with an annual inci- sive T2-hyperintense lesion extending from T4 to conus dence of 5–10 per 1,000,000 . The patients with SDAVF medullaris without any contrast enhancement. Signals due usually present with progressive paraparesis accompanied to perimedullary flow void suggesting engorged vessels were by urinary and bowel disturbance that can be misdiagnosed also observed (Fig. 1). with a broad spectrum of relatively more common spinal The patient subsequently underwent a lumbar puncture disorders including autoimmune or infectious myelopa- (LP) for the differential diagnosis. His cerebrospinal fluid thies and spinal tumors. Since cerebrospinal fluid analysis (CSF) was clear and the cytological analysis revealed 15 is essential in the differential diagnosis, most patients with lymphocytes/mm
Acta Neurologica Belgica – Springer Journals
Published: May 28, 2018
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