Acute Paraparesis after Epidural Corticosteroid Injection Revealing Spinal Dural Arteriovenous Fistula in a HIV Patient
  • Anouk Le Goueff
    Internal Medicine Department, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
  • Nicolas Mavroudakis
    Centre de Référence Neuromusculaire, Service de Neurologie, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
  • Benjamin Mine
    Interventional Neuroradiology Department, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
  • Olivier De Witte
    Neurosurgery Department, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
  • Gauthier Remiche
    Centre de Référence Neuromusculaire, Service de Neurologie, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium

Keywords

Arteriovenous fistula, paraplegia, spinal cord, epidural analgesia

Abstract

Spinal dural arteriovenous fistulas (SDAVFs) are often misdiagnosed as their symptoms are non-specific, leading to treatment delay and a poor outcome.
We describe the case of a 53-year-old man with a history of progressive paraparesis that worsened abruptly after an epidural corticosteroid injection. We highlight here the need for high diagnostic suspicion for an SDAVF in patients deteriorating after an epidural injection and an indication of repeated spine imaging in such cases.
Finally, this is the first reported case of an SDAVF in a HIV-positive patient and it emphasizes the need for a broad differential diagnosis.

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References

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    Published: 2020-07-08
    Issue: 2020: Vol 7 No 10 (view)

    How to cite:
    1.
    Le Goueff A, Mavroudakis N, Mine B, De Witte O, Remiche G. Acute Paraparesis after Epidural Corticosteroid Injection Revealing Spinal Dural Arteriovenous Fistula in a HIV Patient. EJCRIM 2020;7 doi:10.12890/2020_001673.