Spinal arteriovenous malformations: clinical and neurophysiological findings.

Abstract:

:Eighteen patients with dural arteriovenous fistulas or intradural arteriovenous malformations underwent clinical and neurophysiological examination. Bladder disturbances, pain, sensory abnormalities and involvement of both upper and lower motor neurons were commonly observed. Abnormal findings were obtained both in electromyography (11/18) and somatosensory evoked potentials (16/18). The motor evoked potentials were abnormal in all but one patient and showed a prolonged central (n = 14) or peripheral motor conduction time (n = 6). In three cases both values were prolonged. The results of nerve conduction studies in the patients with prolonged peripheral motor conduction times were normal. These neurophysiological findings may indicate root involvement in some patients, probably due to venous congestion and consequent hypoxia, as there were no signs of root compression on neuroradiological evaluation in any of these six patients. Motor evoked potentials may provide an additional clue to the diagnosis, although patients with spinal stenosis or motor neuron disease may present with similar findings.

journal_name

J Neurol

journal_title

Journal of neurology

authors

Linden D,Berlit P

doi

10.1007/BF00878524

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

9-12

issue

1

eissn

0340-5354

issn

1432-1459

journal_volume

243

pub_type

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