Spontaneous Regression of a Spinal Extradural Arteriovenous Fistula After Delivery by Cesarean Section : Case Report

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概要

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• A 23-year-old Japanese woman presented with a newly developed spinal extradural arteriovenous fistula (AVF) during pregnancy. She had been followed up for a suspected spinal cavernous angioma and became unable to walk during the 29th week of her pregnancy. Magnetic resonance (MR) imaging showed a spinal extradural AVF at the T3 to T4 levels compressing the spinal cord. After delivery by cesarean section, her neurological symptoms gradually began to resolve, and she was able to resume walking without assistance. MR imaging confirmed spontaneous regression of the AVF. This case suggests that exacerbated neurological symptoms and AVF growth triggered by pregnancy can improve after delivery without interventional treatment. Careful follow up of neurological findings is required to prevent unnecessary interventional procedures in pregnant women with spinal AVF.

• 社団法人　日本脳神経外科学会の論文
• 2009-07-15

著者

• KINOSHITA Manabu

  Department of Immunology and Microbiology, National Defense Medical College

• ASAI Akio

  Department of Neurosurgery, Metropolitan Komagome Hospital

• Asai Akio

  Department Of Neurosurgery Kansai Medical University Hirakata Hospital

• KANZAKI Hideharu

  Department of Obstetrics and Gynecology, Kansai Medical University School of Medicine

• KAWAMOTO Keiji

  Departments of Neurosurgery, Kansai Medical University

• KOMEDA Shoko

  Department of Obstetrics and Gynecology, Kansai Medical University Hirakata Hospital

• YOSHIMURA Kunikazu

  Department of Neurosurgery, Kansai Medical University Hirakata Hospital

• TAKEDA Junichi

  Department of Neurosurgery, Kansai Medical University Hirakata Hospital

• UESAKA Tatsuo

  Department of Neurosurgery, Kansai Medical University Hirakata Hospital

• YAMANOUCHI Yasuo

  Department of Neurosurgery, Kansai Medical University Takii Hospital

• Kinoshita Manabu

  Department Of Cardiology Komatsushima Red Cross Hospital

• Kinoshita Manabu

  Department Of Neurosurgery Kansai Medical University Hirakata Hospital

• Komeda Shoko

  Department Of Obstetrics And Gynecology Kansai Medical University Hirakata Hospital

• Uesaka Tatsuo

  Department Of Neurosurgery Kansai Medical University Hirakata Hospital

• Takeda Junichi

  Department Of Neurosurgery Kansai Medical University Hirakata Hospital

• Kawamoto Keiji

  Department Of Neurosurgery Kansai Medical University Takii Hospital

• Kawamoto Keiji

  Department Of Neurosurgery Kansai Medical School

• Kanzaki Hideharu

  Department Of Obstetrics And Gynecology Kansai Medical University

• Kanzaki Hideharu

  Department Of Obstetrics And Gynecology Kansai Medical University Hirakata Hospital

• Yamanouchi Yasuo

  Department Of Neurosurgery Kansai Medical University

• Yamanouchi Yasuo

  Department Of Neurosurgery Kansai Medical University Takii Hospital

• Yoshimura Kunikazu

  Department Of Neurosurgery Kansai Medical University Hirakata Hospital

• Yamanouchi Yasuo

  Department Of Brain Surgery Kansai Medical University

• Kanzaki Hideharu

  Department of Obstetrics & Gynecology, Kansai Medical University Hirakata Hospital

• Kawamoto Keiji

  Department of Chemical Engineering, Faculty of Engineering Science, Osaka University

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