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Published on: June 9, 2018
Foix-Alajouanine Syndrome: A Case Report
Jorge Del Pino-Camposeco1, Eliezer Villanueva-Castro1, Juan Antonio Ponce-Gómez1
1Department of Neurosurgery, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, MEX.
Foix-Alajouanine syndrome, a rare spinal arteriovenous malformation, causes myelopathy. Early diagnosis via imaging and treatment with embolization or surgery are crucial for managing this condition.
Area of Science:
- Neurology
- Radiology
- Vascular Surgery
Background:
- Foix-Alajouanine syndrome is a rare spinal arteriovenous malformation (AVM) presenting as myelopathy.
- It typically affects thoracic and lumbar spinal cord segments, leading to neurological deficits.
- Misdiagnosis is common, delaying appropriate treatment.
Observation:
- A 46-year-old female presented with lower limb weakness, sensory loss, low back pain, urinary incontinence, and constipation.
- Thoracic spine MRI revealed hypointense signals in the posterior epidural space, indicative of enlarged arteries.
Findings:
- Spinal digital subtraction angiography confirmed a right perimedullary fistula with venous drainage.
- Successful endovascular embolization was performed, confirming the diagnosis and providing treatment.
Implications:
- Dilated posterior epidural vessels on T2 and STIR MRI sequences are key diagnostic indicators.
- Misdiagnosis is common, highlighting the need for increased physician awareness to prevent treatment delays.
- Treatment options include neurosurgery or endovascular embolization, offering effective management for this rare condition.
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