Sucuoğlu Hamza, Aktürk Adem
İstanbul Gelişim University, School of Health Sciences, Istanbul, Turkey.
Department of Physical Medicine and Rehabilitation, Private Nisa Hospital, Istanbul, Turkey.
Turk J Phys Med Rehabil. 2020 May 18;66(2):219-222. doi: 10.5606/tftrd.2020.3732. eCollection 2020 Jun.
Spinal dural arteriovenous fistula (SDAVF) is a rarely seen vascular lesion in the spinal cord and is often overlooked. If left untreated in the early stages, it is associated with severe morbidity and may lead to progressive myelopathy and bladder and bowel dysfunction. A 55-year-old male patient was admitted with complaints of lower extremity weakness, gait disorder, urinary retention, and stool retention. Based on physical examination and magnetic resonance imaging findings, a preliminary diagnosis of SDAVF was made. The diagnosis was confirmed by spinal angiography showing SDAVF on the left T6. Microsurgery was planned, once endovascular embolization failed. Although symptoms of progressive myelopathy and bladder and bowel dysfunction are rarely seen, SDAVF diagnosis should not be overlooked, and it should be kept in mind that early diagnosis and treatment prevent severe morbidities.
脊髓硬脊膜动静脉瘘（SDAVF）是一种罕见的脊髓血管病变，常被忽视。如果在早期不进行治疗，会导致严重的发病情况，并可能导致进行性脊髓病以及膀胱和肠道功能障碍。一名55岁男性患者因下肢无力、步态障碍、尿潴留和大便潴留入院。根据体格检查和磁共振成像结果，初步诊断为SDAVF。脊髓血管造影显示左侧T6水平存在SDAVF，从而确诊。一旦血管内栓塞失败，便计划进行显微手术。尽管进行性脊髓病以及膀胱和肠道功能障碍的症状很少见，但SDAVF的诊断不应被忽视，应牢记早期诊断和治疗可预防严重的发病情况。
