Spinal dural arteriovenous fistula presenting with subarachnoid hemorrhage: A case report.
Medication (Baltimore). 2018 Apr;97(16):e0513
Authors: Han J, Cao D, Wang H, Ji Y, Kang Z, Zhu J
RATIONALE: Subarachnoid hemorrhage (SAH) is a standard and critical illness and one of the crucial necessary differential diagnoses within the emergency division.
PATIENT CONCERNS: A 39-year-old feminine affected person with a 12 years’ historical past of migraine, offered with a sudden headache mixed with motor aphasia. Bodily examination steered possible optimistic neck resistance. SAH was confirmed by magnetic resonance imaging. As well as, spinal digital subtraction angiography and spinal vascular computed tomography angiography indicated spinal arteriovenous malformation (SAVM).
DIAGNOSES: The ultimate prognosis was spinal dural arteriovenous fistula presenting with SAH.
INTERVENTIONS: Following prognosis, applicable medication have been administered, however the therapeutic impact was poor. Then the affected person was then transferred to a superior hospital the place she was handled with interventional embolization.
OUTCOMES: By means of 2 years of follow-up, intermittent migraine was discovered within the affected person, however the signs of occipital ache, nausea, and vomiting didn’t happen once more.
LESSONS: For sufferers who’ve been recognized with SAH however haven’t any particular trigger, we should always take note of the etiological screening of SAH, and the opportunity of the spinal wire SAH must be vigilant. The ache within the chest and again and the indicators of spinal wire could also be an necessary breakthrough in sufferers with spinal wire SAH, and medical historical past and bodily examination are notably necessary.
PMID: 29668636 [PubMed – indexed for MEDLINE]