Awada A, Artigou J Y, Chiras J, Marelle L, Lascault G
Rev Neurol (Paris). 1984;140(12):740-3.
A 58 year old man was admitted with a pseudo-coronary pain. Cardiological investigations (ECG, chest X-ray, enzymes) were normal. Pain however was exacerbated by movement, coughing and pressure over T4 to T10 vertebrae. On the 4th day, the patient developed a weakness of the right lower limb which worsened 15 days later. On examination there were in the right lower limb a combination of central (Babinski sign) and peripheral signs (diminished deep reflexes, loss of sensation to all modalities ipsilateral to the paralysis). Metrizamide myelography was within normal limits. Spinal angiography revealed a dural arteriovenous fistula draining into spinal veins, at the level of T5. Following the removal of the fistula, the pain disappeared and the other symptoms and signs improved.
一名58岁男性因疑似冠心病疼痛入院。心脏检查（心电图、胸部X光、酶学检查）均正常。然而，T4至T10椎体部位的活动、咳嗽及按压会使疼痛加剧。第4天，患者右下肢出现无力症状，15天后病情加重。检查发现右下肢存在中枢性体征（巴宾斯基征）和周围性体征（深反射减弱、瘫痪同侧所有感觉减退）。甲泛葡胺脊髓造影正常。脊髓血管造影显示在T5水平有一个硬脊膜动静脉瘘引流至脊髓静脉。瘘管切除后，疼痛消失，其他症状和体征有所改善。
