Sp~na~ Dural Arteriovenous Cause of yelo thy cdformation : A

W Ng, S Samad, C Tan
1996 unpublished
Spinal vascular malformation causing myelopathy is often underestimated. According to McCormick's classificatIon of spinal vascular malformation, spinal dural arteriovenous fistulas (SDAF) account for 75% of these abnormalities l. We report two cases of SDAF documented on spinal angiogram. Case 1 A 47-year-old Chinese man presented with progressive spastic paraparesis associated with sphincteric loss of his bladder over three years. A year after the onset of illness, he was confined to his
more » ... onfined to his home. The impairment was associated with frequent episodes of painful flexor spasms. Neurological examination showed spastic paraparesis of grade 4 power associated with hyperreflexia and cloIlUs in both lower limbs. There was loss of sensation to all modalities from T8 dermatomes downwards. Examination of the upper limbs, cranial nerves and other systems was normal. Baseline blood Med