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- W2045737047 abstract "Setting: Acute inpatient rehabilitation hospital. Patient: A 59-year-old man with recurrent transverse myelitis. Case Description: Symptoms began acutely with leg weakness. Magnetic resonance imaging (MRI) revealed abnormal signal intensity from T8 to the conus. Additional workup was negative and treatment included steroids for a diagnosis of transverse myelitis. Following rehabilitation, he was community ambulating with a cane. 2 months later, neurologic progression led to treatment for a urinary tract infection; on discharge from rehabilitation he was ambulating using a walker. 3 months later, he again developed progressive weakness and was diagnosed with exacerbation of transverse myelitis secondary to a sinus infection. Additional workup included MRI and magnetic resonance angiography and led to a diagnosis of arteriovenous malformation (AVM). Ultimately, he underwent spinal angiography and surgical repair of the thoracic AVM. He was discharged to rehabilitation using a wheelchair and has not returned to independent ambulation. Assessment/Results: During his 18-month course, he suffered multiple flairs of lower-extremity weakness and varied neurologic deficit. Following surgical repair of the AVM, his motor deficit remains stable although long-term prognosis for motor improvement is currently uncertain. Discussion: Several case reports of spinal AVMs are noted in the literature. This case displays a varying and protracted course with multiple diagnosis of transverse myelitis. Once the diagnosis was made, surgical correction was performed. However, the paucity of recovery following surgical correction may be in part due to the time elapsed between onset and diagnosis, thus delaying definitive treatment, and serves to support a high index of suspicion for a spinal AVM in such cases. Conclusions: AVMs are an uncommon, but not rare, cause of neurologic deficit. As such, they should be included in the differential for neurologic deficit without definitive etiology, especially in cases with recurrent episodes." @default.
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- W2045737047 date "2007-09-01" @default.
- W2045737047 modified "2023-09-25" @default.
- W2045737047 title "Poster 281: Arteriovenous Malformation Presenting as Transverse Myelitis: A Case Report" @default.
- W2045737047 doi "https://doi.org/10.1016/j.apmr.2007.06.697" @default.
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