Rapid Recovery from Paraplegia in a Patient with Foix-Alajounine Syndrome.

Rapid Recovery from Paraplegia in a Patient with Foix-Alajounine Syndrome.

World Neurosurg. 2016 Oct 26;:

Authors: Joswig H, Haji FA, Martinez-Perez R, Steven DA, Boulton MR

Abstract
BACKGROUND: Foix-Alajounine syndrome describes the acute neurological deterioration in the setting of a spinal dural arteriovenous fistula.
CASE DESCRIPTION: The following case report on a young patient with an unusual clinical onset of Foix-Alajounine Syndrome coincidentally occurring after his Outpatient Clinic appointment, illustrates how prompt surgical treatment can result in rapid recovery of neurological function despite preoperative paraplegia.
CONCLUSIONS: Venous hypertension with subsequent rapid resolution after surgical treatment is the pathophysiological mechanism underlying a dural arteriovenous fistula, in contrast to historical views suggesting these lesions result from irreversible venous thrombosis resulting in necrotic myelopathy.

PMID: 27794514 [PubMed - as supplied by publisher]

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