Yunga Tigre Joseph, Costello Meredith C, Maddy Krisna, Errante Emily L, Berger Connor C, Burks Stephen S
Department of Neurosurgery, University of Miami Miller School of Medicine, Miami, USA.
The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, USA.
Cureus. 2023 Mar 22;15(3):e36533. doi: 10.7759/cureus.36533. eCollection 2023 Mar.
Spinal dural arteriovenous fistulas (SDAVFs) may have subtle clinical presentations and are often misdiagnosed. Clinical status gradually deteriorates following symptom onset making prompt identification and management essential. Here we present a case of a 67-year-old patient with rapidly progressing motor and sensory deficits to eventual right hemiplegia. Following imaging and surgical intervention, a thoracic SDAVF was identified and resected. This case report highlights a unique SDAVF with a stroke-like presentation. For patients with such presentation, without a clear source of intracranial pathology, spinal causes such as SDAVF could be considered.
脊髓硬脊膜动静脉瘘（SDAVF）可能有隐匿的临床表现，常被误诊。症状出现后临床状况会逐渐恶化，因此及时识别和处理至关重要。在此，我们报告一例67岁患者，其运动和感觉功能迅速减退，最终发展为右侧偏瘫。经影像学检查和手术干预，发现并切除了一例胸段SDAVF。本病例报告强调了一种具有类似中风表现的独特SDAVF。对于有此类表现且颅内病变来源不明的患者，可考虑诸如SDAVF等脊髓病因。
