Rapid Progression to Complete Paraplegia After Electroacupuncture in a Patient With Spinal Dural Arteriovenous Fistula: A Case Report
| Autor: | Ki-Hoon Park, Han-Dong Lee, Nam-Su Chung, Chang-Hoon Jeon |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Cord Exacerbation RD1-811 business.industry Electroacupuncture spinal vascular malformation medicine.medical_treatment Arteriovenous fistula Case Report medicine.disease spinal dural arteriovenous fistula Surgery paraplegia Complete paraplegia electroacupuncture Acupuncture medicine Back pain neurologic deficits medicine.symptom business Paraplegia |
| Zdroj: | Frontiers in Surgery, Vol 8 (2021) Frontiers in Surgery |
| Popis: | Spinal dural arteriovenous fistula (SDAVF) usually has an insidious clinical course, but 5–15% of the cases have acute exacerbations. In some cases, there is an abrupt progression to paraplegia following an epidural injection or anesthesia. Electroacupuncture is a form of acupuncture that applies a small electrical current to needles inserted at specific points in the body. It is widely used for its analgesic effect on back pain. In this study, we report a rare case of SDAVF in which the symptoms of a patient worsened rapidly to complete paraplegia within a few hours after applying electroacupuncture to his back. A 49-year-old man had rapid progression to complete paraplegia within a few hours of electroacupuncture on his back. MRI showed SDAVF and worsening of cord signal change. An emergency operation was performed to ligate the SDAVF. The patient was able to walk 1 month post-operatively. Most of the neurological deficits had disappeared by 1 year post-operatively, with normalization of MRI. Our case emphasizes that SDAVF patients should be careful when exposed to any circumstances that might affect the circulation around the dural arteriovenous fistula, such as electroacupuncture. Patients should also be warned in advance about the possibility of rapid exacerbation of neurological symptoms. Regardless of the severity of the neurological symptoms, immediate treatment is essential for recovery and a better outcome. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|