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Foix Alajouanine Syndrome

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Progressive Paraplegia Due to Spinal Dural Arteriovenous Fistula: A Rare but Treatable Diagnosis That Should Not Be Missed.

Sajid Hameed, Bushra Taimuri, Marvi Sajid, Farah Siraj, Ayeesha Kamal,

Spinal dural arteriovenous fistula (SDAVF) is the most common spinal vascular anomaly. It should always be considered in the differential diagnoses in a patient with progressive paraplegia or quadriplegia. We present a case of an elderly gentleman presenting with progressive paraplegia. The diagnosis was delayed as the previous physicians and ... Read more >>

Cureus (Cureus)
[2019, 11(10):e5893]

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Response to 'Foix-Alajouanine is another differential diagnosis in longitudinal myelitis thought to be a case of multiple sclerosis or neuromyelitis optica'.

Suradech Suthiphosuwan, Jiwon Oh, Aditya Bharatha,

Spinal Cord Ser Cases (Spinal cord series and cases)
[2017, 3:17059]

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Dural Arteriovenous Fistula and Foix-Alajouanine Syndrome: Assessment of Functional Scores with Review of Pathogenesis.

Carlito Lagman, Lawrance K Chung, Rohan V Chitale, Isaac Yang,

To assess the use of functional scores in the evaluation of patients with dural arteriovenous fistula and Foix-Alajouanine syndrome.We systematically surveyed the literature to identify relevant patients. Aminoff-Logue Scale (ALS) and modified Rankin Scale (mRS) scores were ascertained and combined to form a novel functional score, the Aminoff-Rankin Composite (ARC) ... Read more >>

World Neurosurg (World neurosurgery)
[2017, 106:206-210]

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Spinal Arteriovenous Fistulas of the Filum Terminale: Case Report and Literature Review.

Fayçal Lakhdar, Mohammed Benzagmout, Khalid Chakour, Mohammed El Faiz Chaoui,

Spiinal arteriovenous fistulae (AVF) are an uncommon cause of myelopathy that require a high degree of suspicion to diagnose. Treatment strategies have not yet been established. Only a few cases of AVFs of the filum terminale (FT) have been reported. In this review, we describe clinical presentation, imaging, and treatment ... Read more >>

Asian J Neurosurg (Asian journal of neurosurgery)
[2019, 14(4):1277-1282]

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Foix-Alajouanine syndrome mimicking a spinal cord tumor.

Renan Salomão, Nathalie Henriques Silva Canêdo, Guilherme P Abrão, Carlos Lima, Marcus André Acioly,

Subacute necrotizing myelopathy (SNM) or Foix-Alajouanine syndrome is a rare disease characterized by progressive neurological dysfunction caused by a spinal dural arteriovenous fistula (AVF). Radiological diagnosis is usually suspected when there is intramedullary nonspecific enhancement and perimedullary flow voids. Ring-enhancement is rarely reported in the scope of AVF, which poses ... Read more >>

Rev Assoc Med Bras (1992) (Revista da Associacao Medica Brasileira (1992))
[2017, 63(7):564-565]

Cited: 1 time

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Rapid Recovery from Paraplegia in a Patient with Foix-Alajouanine Syndrome.

Holger Joswig, Faizal A Haji, Rafael Martinez-Perez, David A Steven, Melfort R Boulton,

Foix-Alajouanine syndrome is defined as acute neurologic deterioration in the setting of a spinal dural arteriovenous fistula.This case report on a young patient with an unusual clinical onset of Foix-Alajouanine syndrome coincidentally occurring after his outpatient clinic appointment illustrates how prompt surgical treatment can result in rapid recovery of neurologic ... Read more >>

World Neurosurg (World neurosurgery)
[2017, 97:750.e1-750.e3]

Cited: 1 time

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The Long and Winding Road: Thoracic Myelopathy Associated With Occipitocervical Dural Arteriovenous Fistula.

Angelique Sao-Mai Do, Joseph Kapurch, Ravi Kumar, John Port, Jeffrey W Miller, Jamie J Van Gompel,

Spinal dural arteriovenous fistulas (DAVFs) have diverse presentations. Magnetic resonance imaging (MRI) reveals spinal cord swelling in only 45% to 74% of cases. We present an unusual case of a 57-year old man with a craniocervical junction DAVF in which the edema appeared in the thoracolumbar region, skipping the cervical ... Read more >>

World Neurosurg (World neurosurgery)
[2017, 108:998.e7-998.e16]

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Congestive Myelopathy due to Intradural Spinal AVM Supplied by Artery of Adamkiewicz: Case Report with Brief Literature Review and Analysis of the Foix-Alajouanine Syndrome Definition.

Dinesh Sood, Kewal A Mistry, Garvit D Khatri, Veenal Chadha, Swati Garg, Pokhraj P Suthar, Dhruv G Patel, Ankitkumar Patel,

BACKGROUND:Spinal arteriovenous malformations (AVMs) can lead to development of congestive myelopathy (Foix-Alajouanine syndrome). Spinal AVMs are rare and so is this syndrome. Diagnosis is often missed due to its rarity and confusing definitions of the Foix-Alajouanine syndrome. CASE REPORT:We report a case of a 47-year-old male patient suffering from this ... Read more >>

Pol J Radiol (Polish journal of radiology)
[2015, 80:337-343]

Cited: 3 times

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[A Case of Foix-Alajouanine Syndrome due to Perimedullary AVF: Remission and Aggravation Mechanism Considered by an Open Surgical Biopsy and Intraoperative ICG Angiography].

Fumiaki Maruyama, Yasuharu Akasaki, Mitsuyoshi Watanabe, Takao Arai, Akira Isoshima, Hiroyasu Nagashima, Yuichi Murayama,

Foix-Alajouanine syndrome (FAS), also known as congestive myelopathy due to spinal vascular malformations, presents with paraplegia, sensory disturbance of lower limbs, and dysfunction of the bladder and rectum. Although FAS is characterized by a subacute onset of neurological symptoms that may wax and wane over a few years, the progression ... Read more >>

No Shinkei Geka (No shinkei geka. Neurological surgery)
[2015, 43(8):733-738]

Cited: 1 time

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A case of symptomatic spinal dural arteriovenous fistula after high-volume lumbar puncture.

Thomas Noh, Rahul Chandra, Jimmy Kim, Ian Lee,

BACKGROUND:Spinal dural arteriovenous fistulas (DAVFs) are rare lesions that lead to venous congestion and ischemic injury resulting in neurologic deterioration. Here we present a patient diagnosed with glioblastoma multiforme (GBM) who became symptomatic from a spinal DAVF after a diagnostic high-volume lumbar puncture (LP). CASE DESCRIPTION:When a 72-year-old female developed ... Read more >>

Surg Neurol Int (Surgical Neurology International)
[2017, 8:164]

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An Unusual Cause of Cauda Equina Syndrome: Lumbar Epidural Venous Engorgement.

Husam A AlTahan, Roaa R Amer, Areej A Madani, Eman A Bakhsh,

BACKGROUND Epidural venous plexus (EVP) engorgement occurs due to many conditions, so it can be easily misdiagnosed. This becomes problematic when the diagnosis requires prompt treatment for a good outcome, especially when it results in cauda equina syndrome (CES). We report a case of extensive iliocaval thrombosis leading to epidural ... Read more >>

Am J Case Rep (The American journal of case reports)
[2018, 19:694-698]

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A Review of Vascular Abnormalities of the Spine.

Rahul Singh, Brandon Lucke-Wold, Kymberly Gyure, Sohyun Boo,

Patients with spinal vascular lesions present with unique symptoms and have important anatomical and physiologic changes that must be considered prior to treatment. In this mini-review, we provide an overview of normal spinal vascular anatomy and discuss several key spinal vascular lesions. We provide an overview of cavernous malformations, intradural ... Read more >>

Ann Vasc Med Res (Annals of vascular medicine and research)
[2016, 3(4):]

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Foix-alajouanine syndrome presenting as acute cauda equina syndrome: a case report.

K Venugopal Menon, Tamer M M Sorour, Sameer B Raniga,

Study Design Case report. Objective Present a case of Foix-Alajouanine syndrome that presented as acute cauda equina syndrome and discuss the pathophysiology and management. Methods An adult male patient developed sudden onset of back pain and leg pain with weakness of the lower limbs and bladder/bowel dysfunction typical of cauda equina syndrome. Emergency ... Read more >>

Global Spine J (Global spine journal)
[2014, 4(4):269-272]

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Idiopathic very late-onset cerebellar ataxia: a Brazilian case series.

Hélio A G Teive, Mariana Moscovich, Adriana Moro, Marina Farah, Walter O Arruda, Renato P Munhoz,

The authors present a Brazilian case series of eight patients with idiopathic very-late onset (mean 75.5 years old) cerebellar ataxia, featuring predominantly gait ataxia, associated with cerebellar atrophy.26 adult patients with a diagnosis of idiopathic late onset cerebellar ataxia were analyzed in a Brazilian ataxia outpatient clinic and followed regularly ... Read more >>

Arq Neuropsiquiatr (Arquivos de neuro-psiquiatria)
[2015, 73(11):903-905]

Cited: 1 time

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[Foix-Alajouanine syndrome, what is it?].

N V Shuleshova, A A Skoromets, C Lu, Iu M Zabrodskaia, A N Sartakova-Korzhova, G M Nutfullina, V S Krasnov,

The article contains the description of Foix-Alajouanine syndrome (FAS) from literature. Three our own cases of FAS, which developed in two men and one woman, are presented. An analysis of FAS clinical picture revealed a step-like progression of the disease with a possibility of short-term fluctuation of some focal neurological ... Read more >>

Zh Nevrol Psikhiatr Im S S Korsakova (Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova)
[2014, 114(9):88-92]

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An unusual presentation of spinal dural arteriovenous fistula: A case report.

Payam Saadat, Marzie Adabi,

BACKGROUND:Spinal dural AVF is the most common type of spinal vascular malformation. However, presenting symptoms differ according to site of spinal involvement. This study described a case of arteriovenous malformation with paraparesis and incontinence. CASE PRESENTATION:Diagnosis of patient was confirmed by clinical and imaging examination using magnetic resonance image and ... Read more >>

Caspian J Intern Med (Caspian journal of internal medicine)
[2016, 7(3):225-227]

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A report of congestive myelopathy as a result of chronic chylous reflux syndrome.

Parichart Junpaparp, Ambiga Samiappan, Saranya Buppajarntham, George Newman,

J Clin Neurol (Journal of clinical neurology (Seoul, Korea))
[2014, 10(3):276-277]

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Thoracic venous congestion caused by thoracic disc herniation.

Eric P Roger, Andrea J Chamczuk, Marygrace C Hagan,

We present what is to our knowledge the first reported case of thoracic disc herniation leading to venous congestive myelopathy (VCM), which was clinically and radiographically suggestive of Foix-Alajouanine syndrome (angiodysgenetic necrotizing myelopathy). In addition, we review current concepts in evaluating the etiology of VCM and discuss indications for surgery. ... Read more >>

Brain Behav (Brain and behavior)
[2013, 3(3):207-210]

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Congestive myelopathy (Foix-Alajouanine Syndrome) due to intradural arteriovenous fistula of the filum terminale fed by anterior spinal artery: Case report and review of literature.

Prasad Krishnan, Tapas Kumar Banerjee, Manash Saha,

Spinal arteriovenous fistulas are rare entities. They often present with congestive myelopathy but are infrequently diagnosed as the cause of the patients' symptoms. Only one such case has been described previously in Indian literature. We describe one such case who presented to us after a gap of 3 years since ... Read more >>

Ann Indian Acad Neurol (Annals of Indian Academy of Neurology)
[2013, 16(3):432-436]

Cited: 6 times

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Late diagnosis of spinal dural arteriovenous fistulas resulting in severe lower-extremity weakness: a case series.

Ivelin Iovtchev, Nurith Hiller, Yona Ofran, Isabella Schwartz, Jose Cohen, Stuart A Rubin, Zeev Meiner,

Spinal dural arteriovenous fistula (SDAVF) is a slow-flow extramedullary vascular lesion affecting primarily the lower thoracic and lumbar spine. The clinical sequela of these vascular changes is progressive myelopathy and severe lower-extremity weakness. Although surgical or embolic treatment of SDAVFs has improved significantly in the last years, the ambiguity of ... Read more >>

Spine J (The spine journal : official journal of the North American Spine Society)
[2015, 15(6):e39-44]

Cited: 9 times

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Histologically proven venous congestive myelopathy without concurrent vascular malformation: Case reports and review of the literature.

Teppei Matsubara, Hiroyoshi Akutsu, Shinya Watanabe, Kei Nakai, Satoshi Ayuzawa, Akira Matsumura,

BACKGROUND:Venous congestive myelopathy is a progressive myelopathy that is generally caused by a spinal dural arteriovenous fistula. CASE DESCRIPTION:We report a patient with histologically confirmed venous congestive myelopathy without concurrent vascular malformations in radiological and intraoperative findings. CONCLUSIONS:The definitive underlying etiology of this congestive myelopathy was unclear. However, this case ... Read more >>

Surg Neurol Int (Surgical neurology international)
[2012, 3:87]

Cited: 2 times

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Spontaneous thrombosis of a spinal conus perimedullary arteriovenous fistula. Case report.

Keisuke Takai, Masaaki Usui,

A 49-year-old male presented with a rare case of acute lower extremity paresis caused by spontaneous thrombosis of a spinal conus perimedullary arteriovenous fistula (AVF) after a subacute myelopathic course. Magnetic resonance imaging obtained after deterioration showed that the flow voids around the conus medullaris had changed from hypointense to ... Read more >>

Neurol. Med. Chir. (Tokyo) (Neurologia medico-chirurgica)
[2012, 52(2):103-106]

Cited: 5 times

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Legacy and current understanding of the often-misunderstood Foix-Alajouanine syndrome. Historical vignette.

Andrew S Ferrell, R Shane Tubbs, Leslie Acakpo-Satchivi, John P Deveikis, Mark R Harrigan,

Foix-Alajouanine syndrome has become a well-known entity since its initial report in 1926. The traditional understanding of this clinical syndrome is as a progressive spinal cord venous thrombosis related to a spinal vascular lesion, resulting in necrotic myelopathy. However, spinal venous thrombosis is extremely rare and not a feature of ... Read more >>

J. Neurosurg. (Journal of neurosurgery)
[2009, 111(5):902-906]

Cited: 4 times

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Foix-Alajouanine syndrome: what is it?

Roberto C Heros,

J. Neurosurg. (Journal of neurosurgery)
[2009, 111(5):900-901]

Cited: 2 times

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Cervical spine arterio venous malformation.

Giridhar Parla, Victor Ameh,

We present an unusual case of a young patient who presented to our emergency department with a history of sudden onset of pain on the left side of the neck and numbness to the left arm after lifting a small weight. Patient continued to work as normal for approximately 30 ... Read more >>

BMJ Case Rep (BMJ case reports)
[2013, 2013:]

Cited: 0 times

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