Congestive myelopathy due to intradural spinal AVM supplied by artery of Adamkiewicz : case report with brief literature review and analysis of the Foix-Alajouanine syndrome definition

doi:10.12659/PJR.894304

Congestive myelopathy due to intradural spinal AVM supplied by artery of Adamkiewicz : case report with brief literature review and analysis of the Foix-Alajouanine syndrome definition

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Congestive myelopathy due to intradural spinal AVM supplied by artery of Adamkiewicz : case report with brief literature review and analysis of the Foix-Alajouanine syndrome definition

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title:	Congestive myelopathy due to intradural spinal AVM supplied by artery of Adamkiewicz : case report with brief literature review and analysis of the Foix-Alajouanine syndrome definition
author:	Sood Dinesh, Mistry Kewal A., Khatri Garvit D., Chadha Veenal, Garg Swati, Suthar Pokhraj P., Patel Dhruv G., Patel Ankitkumar
journal title:	Polish Journal of Radiology
volume:	80
date of publication :	2015
pages:	337-347
ISSN:	1733-134X
eISSN:	1899-0967
DOI:	10.12659/PJR.894304
notes:	Bibliogr. s. 342-343
language:	English
journal language:	English
abstract in English:	BACKGROUND: Spinal arteriovenous malformations (AVMs) can lead to development of congestive myelopathy (Foix-Alajouanine syndrome). Spinal AVMs are rare and so is this syndrome. Diagnosis is often missed due to its rarity and confusing definitions of the Foix-Alajouanine syndrome. CASE REPORT: We report a case of a 47-year-old male patient suffering from this rare syndrome with an AVM arising from the artery of Adamkiewicz, which is another rarity. Our patient was treated by embolization of the lesion with 20% glue, after which he showed mild improvement of symptoms. We also present a brief review of literature on spinal AVMs and elucidate the evolution of the term Foix-Alajouanine syndrome. CONCLUSIONS: Use of the term "Foix-Alajouanine syndrome" should be restricted to patients with progressive subacute to chronic neurological symptoms due to congestive myelopathy caused by intradural spinal AVMs. CT angiography should supplement DSA as preliminary Imaging modality. Patients may be treated with surgery or endovascular procedures.
keywords in English:	angiography, digital subtraction, central nervous system vascular malformations, magnetic resonance imaging, multidetector computed tomography, spinal cord ischemia
type:	journal article
subtype:	academic paper

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