Summary
A case of neurofibromatosis with spinal paralysis due to arteriovenous fistula is reported. Preoperatively, the appropriate diagnosis was missed because angiography had not been performed. Post-operative angiography disclosed that an arteriovenous fistula formed a tumor-like mass, and that a part of the mass had invaded the spinal canal, compressing the spinal cord. It is concluded that the possibility of an arteriovenous fistula should be kept in mind in neurofibromatosis patients with spinal cord symptoms.
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References
Curtis BH, Fisher RL, Butterfield WL, Saunders FP (1969) Neurofibromatosis with paraplegia. J Bone Joint Surg [Am] 51:843–861
Deans WR, Bloch S, Leibrock L, Berman BM, Skultety FM (1982) Arteriovenous fistula in patients with neurofibromatosis. Radiology 144:103–107
Heard GE, Holt JF, Naylor B (1962) Cervical vertebral deformity in von Recklinghausen's disease of the nervous system. J Bone Joint Surg [Br] 44:880–885
Hiekata T, Arase K, Kuwabara M, Fujinami M, Ando N, Abe H, Sato T, Sakai M, Kawada T, Ashida H (1984) Vertebral arteriovenous fistula associated with neurofibromatosis (in Japanese). Geka 46:876–879
Kawasaki M, Miura N, Kobayashi N, Kagawa M, Kitamura K (1977) A case of spontaneous extracranial vertebral A.V.M. with neurofibromatosis (in Japanese). Neurol Surg (Tokyo) 5:877–882
Reubi F (1945) Neurofibromatose et lésions vasculaires. Schweiz Med Wochenschr 75:463–465
Salyer WR, Salyer DC (1974) The vascular lesions of neurofibromatosis. Angiology 25:510–519
Schubiger O, Yasargil MG (1978) Extracranial vertebral aneurysm with neurofibromatosis. Neuroradiology 15:171–173
Shibui S, Miki H, Masuzawa H, Sano K, Oka H, Kamogawa M (1977) A case of cervical vertebral arteriovenous fistula with von Recklinghausen's disease (in Japanese). Rinsho Shinkeigaku 17:128
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Wada, K., Ohtsuka, K., Terayama, K. et al. Neurofibromatosis with spinal paralysis due to arteriovenous fistula. Arch Orthop Trauma Surg 108, 322–324 (1989). https://doi.org/10.1007/BF00932324
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DOI: https://doi.org/10.1007/BF00932324