Bilateral Lower Extremity Weakness Due to Spinal Dural Arteriovenous Fistula: A Case Report-Bilateral Lower Extremity Weakness Due to Spinal Dural Arteriovenous Fistula: A Case Report

Bilateral Lower Extremity Weakness Due to Spinal Dural Arteriovenous Fistula: A Case Report

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Spinal dural arteriovenous fistula is a vascular malformation that occurs in the spinal cord and can lead to myelopathy. It causes arterial inflow into the venous system, resulting in increased pressure and congestion. This condition primarily affects elderly males and typically presents with slow progression of weakness, lower extremity numbness, and urinary incontinence. Diagnosis can be challenging due to nonspecific symptoms, but prompt intervention is crucial for better outcomes. In this case, an 87-year-old male with a history of prostate cancer and degenerative joint disease underwent microsurgical intervention for a spinal dural AV fistula. Despite surgery, the patient continued to experience weakness and required rehabilitation. Physiatrists play an essential role in managing these cases and improving function through acute inpatient rehabilitation.

Keywords

Spinal dural arteriovenous fistula

vascular malformation

myelopathy

elderly males

slow progression of weakness