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Case Reports

Spinal dural AV fistula: A nightmare for the anaesthesiologist

Authors:

Lokvendra Singh Budania,

Kasturba Medical College , Manipal, IN
About Lokvendra Singh
Associate Professor
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M. V. Eeshwar ,

Kasturba Medical College , Manipal, IN
About M. V.
Assistant Professor
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Meghna Reddy,

Kasturba Medical College, Manipal, IN
About Meghna
Junior Resident 
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Manjunath Prabhu,

Kasturba Medical College, Manipal, IN
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Professor 
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Yogesh K. Gaude,

Kasturba Medical College , Manipal, IN
About Yogesh K.
Associate Professor 
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Vamshidhar Chamala Reddy

Kasturba Medical College , Manipal, IN
About Vamshidhar Chamala
Assistant Professor 
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Abstract

Spinal dural arteriovenous fistulas (SDAVFs) are abnormal connections between radicular arteries and venous plexus of the spinal cord.  SDAVFs most commonly present with pain and weakness in the lower limbs (which presents as difficulty in climbing stairs, gait disturbances)and sphincter dysfunction that is gradually progressive. We present a 31 year old woman who was diagnosed with stress urinary incontinence and was scheduled for tension free vaginal taping. Spinal anaesthesia was administered and post operatively the patient developed myoclonic jerks and weakness of the lower limbs. On evaluation she was found to have lumbar spinodural AV fistula.           

How to Cite: Budania, L.S., Eeshwar, M.V., Reddy, M., Prabhu, M., Gaude, Y.K. and Reddy, V.C., 2019. Spinal dural AV fistula: A nightmare for the anaesthesiologist. Sri Lankan Journal of Anaesthesiology, 27(2), pp.166–168. DOI: http://doi.org/10.4038/slja.v27i2.8428
Published on 26 Jul 2019.
Peer Reviewed

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