alexa Spinal Cord Venous Infarction Presumed to be Caused by a Lumbar Vertebral Body Malformation after Vertebral Complession Fracture
ISSN: 2165-7939

Journal of Spine
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Case Report

Spinal Cord Venous Infarction Presumed to be Caused by a Lumbar Vertebral Body Malformation after Vertebral Complession Fracture

Shinji Tanishima1*, Satoru Fukata1, Hiroyuki Ishi1, Yasuo Morio1, Toshiyuki Dokai2 and Akihiko Nishihara3
1Department of Orthopaedic Surgery, Misasa Onsen Hospital, Japan
2Department of Orthopaedic Surgery, Yonago Medical Center, Japan
3Department of Orthopaedic Surgery, Tottori Prefectural Kousei Hospital, Japan
Corresponding Author : Shinji Tanishima
Department of Orthopaedic Surgery
Misasa Onsen Hospital, 690 Yamada
Misasa-cho, Tottori 682-0197, Japan
Tel: +81-858-43-1321
Fax: +81-858-43-2732
E-mail: shinji@sanmedia.or.jp
Received September 07, 2013; Accepted November 05, 2013; Published November 08, 2013
Citation: Tanishima S, Fukata S, Ishi H, Morio Y, Dokai T, et al. (2013) Spinal Cord Venous Infarction Presumed to be Caused by a Lumbar Vertebral Body Malformation after Vertebral Complession Fracture. J Spine 2:145. doi:10.4172/2165-7939.1000145
Copyright: © 2013 Tanishima S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

We report a case of a 81-year-old woman with a subacute bilateral legs palsy due to venous congestion of the spinal cord caused by an arteriovenous fistula in the first lumbar vertebra which fractured previously. We diagnosed her spinal infarction only by MRI. She recovered from leg palsy at first. So we waited and saw her symptom. But after that leg palsy repeated with short interval and gradually her palsy was getting worse and became completed palsy. We performed selective spinal angiography and found out arteriovenous fistula in first lumbar vertebra fractured previously. We estimated that vertebral fracture might make arteriovenous fistula in vertebral body and this fistula caused venous congestion spinal cord. Spinal cord venous infarctions due to venous congestion with lumbar vertebral body malformation is a very rare. Therefore we delayed to diagnose and this delay caused to permanent neurological deficits.

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