PubMed · 14451925
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B JOFFE. 1962. Circulatory complication from *** surgery.. https://pubmed.ncbi.nlm.nih.gov/14451925/
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STUDY DESIGN: Case report. OBJECTIVES: Brain diffusion magnetic resonance imaging (MRI) and apparent diffusion coefficient (ADC) maps are useful to differentiate vasogenic and cytotoxic oedema during cerebovascular diseases. We investigate spinal cord diffusion MRI and ADC maps before and after treatment in one case of spinal dural arteriovenous fistula. SETTING: University of Bordeaux, France. METHODS: We used spinal cord diffusion MRI. RESULTS: We found a vasogenic oedema that disappears after treatment. CONCLUSION: This case report confirms the interest of spinal cord diffusion and ADC maps to differentiate vasogenic and cytotoxic oedema at the spinal cord level.
Truly reversible pulmonary hypertension is rare. Acquired systemic arteriovenous (A-V) fistulas following spinal surgery (laminectomy) are a less recognized cause of secondary pulmonary hypertension. We describe a patient who presented with symptoms and clinical evidence of pulmonary hypertension and underwent endovascular correction of an acquired A-V fistula, which led to improvement according to clinical and noninvasive hemodynamic criteria.
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