European Journal of Biomedical and Pharmaceutical Sciences

RARE CASE OF QUADRIPARESIS WITH RT HORNER’S SYNDROME DUETO CERVICAL SPINE DURAL ARTERIO-VENOUS FISTULA

*Dr. Motwakil Imam Awadelkareim Imam and Dr. Sara Azhary

ABSTRACT

cervical spine dural arterio-venous fistula account for approximately 70% of all vascular spinal malformations, 5–10/million/year in the general population, The disease seems to be under diagnosed, symptomatic in elderly men, 5 times more often than women, mean age at the time of diagnosis 55–60 years, Patients younger than 30 years of age less than 1% of patients, no patient younger than 20 years of age. We report a19 years old Sudanese female, student, single presented to us with sudden onset of neck pain, was concomitant with onset of sudden right sided weakness with numbness, associated with urine retention firstly then she became incontinent of urine, with mild low grade fever, no convulsion or loss of consciousness and no faecal incontinence associated with quadriparesis with Rt Horner’s syndrome, cervical MRIs revealed spinal epidural hematoma in posterior cervical spine C1-C7,and CT-spinal angiogram, revealed cervical spine dural arterio-venous fistula. This case revealed that cervical spine dural arterio-venous fistula caused quadriparesis with Rt Horner’s syndrome

Keywords: Cervical spine dural arterio-venous fistula, quadriparesis, and Horner’s syndrome.