A child with spinal cord AVM presenting with raised intracranial pressure

Abstract

2. Agardh CD, Rosen I. Neurophysiological recovery after hypoglycemic coma in the rat: correlation with cerebral metabolism. J Cereb Blood Flow Metab 1983;3:78 -85. 3. Madl C, Kramer L, Yeganehfar W, et al. Detection of nontraumatic comatose patients with no benefit of intensive care treatment by recording of sensory evoked potentials. Arch Neurol 1996;53:512-516. 4. Brunko E, Zegers de Beyl D. Prognostic value of early cortical somatosensory evoked potentials after resuscitation from cardiac arrest. Electroencephalogr Clin Neurophysiol 1987;66:15-24.

Spinal arteriovenous shunts presenting as intracranial subarachnoid haemorrhage

“…The sixth patient had a peripheral facial nerve palsy [ 12 ]. Papiledema [ 20 , 28 ] and retinal haemorrhages [ 28 ] were found in three patients (9%). Presence of nuchal rigidity was reported in two patients (18%) with cervical SAVS, in five patients (36%) with CCJ SAVS, and in six patients (55%) with a thoracolumbar SAVS from a total of 15 patients in whom information on the presence or absence of nuchal rigidity was reported.…”

“…In 13 of the 14 patients with a CCJ SAVS cerebral angiography revealed the diagnosis, in the remaining patient after spinal angiography. The diagnosis of a cervical SAVS was made after cerebral angiogram in five of the 11 patients, on a diagnostic laminectomy [ 19 , 27 ] in three, on spinal MRI in two [ 20 , 21 ], and after myelography in one patient [ 26 ]. Three CCJ SAVS [ 10 , 11 , 18 ] and three cervical SAVS [ 19 , 24 , 25 ] were not diagnosed directly after the first cerebral angiogram because initially not all four cerebropetal vessels were catheterized selectively.…”

“…A ventriculoperitoneal drain was placed in one patient [ 14 ]. Another patient was treated with acetazolamide to reduce intracranial pressure [ 20 ].…”

Spinal dural arteriovenous malformation presented with intracranial hypertension in a young patient

“…There are also a few studies which reported that intracranial hypertension symptoms including papilloedema and headache were present in some patients 3. MRI is essential, and it should encompass the entire spine, as localising physical examination findings (such as sensory level) do not mostly correlate well with lesion level 4…”

A rare cause of occipital headache

“…The cause of intermittent headache in this patient can be possibly due to two possible mechanisms; first being referred pain from cervical dermatomes to the occipital region and the second is episodic bleeding into the subarachnoid space causing obstruction of cerebrospinal fluid outflow. [ 2 ] These lesions can clinically mimic spinal stenosis which also presents with pain and compressive myelopathy symptoms. A relatively rare but significant complication is subarachnoid hemorrhage.…”