Ruptured cervical arteriovenous fistulas presenting with subarachnoid hemorrhage and quadriplegia: an uncommon case
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Yung-Cheng Su, MD
,,,Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei City 111, Taiwan ROC
School of Medicine, Fu Jen Catholic University, Taipei 242, Taiwan
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Fig. 1
Noncontrast CT of the head showed SAH confined in the posterior fossa and bilateral lateral ventricle.
Fig. 2
T2-weighted magnetic resonance imaging of cervical spine showed a high-intensity lesion over the C5 level of the spinal cord.
Nontraumatic subarachnoid hemorrhage is a neurologic emergency, and prompt treatment is necessary to avoid catastrophic result. We present a patient with subarachnoid hemorrhage caused by ruptured cervical intradural extramedullary arteriovenous fistulas, which rapidly progressed to quadriplegia. Because of the timely management, the patient had a good recovery. This is a rare but important case that emergency physicians should be aware of.
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© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
