Clinical presentation of patients with deep lumbosacral spinal dural arteriovenous fistulas
Case No. | Age (yr)/Sex | Duration of Symptoms (mo) | Symptoms at Time of Diagnosis | AL-Score | Previous Diagnosis and Treatment |
---|---|---|---|---|---|
1 | 66, M | 24 | Paraparesis 3/5a, sensory transverse lesion L5, sphincter dysfunction | 3 | Lumbar disc prolapse: discectomy L4–5 |
2 | 56, M | 36 | Paraparesis 3/5, sensory transverse lesion L2 | 3 | |
3 | 63, M | 24 | Paraparesis 2–3/5, sensory transverse lesion L1, sphincter dysfunction | 4 | |
4 | 60, M | 30 | Paraparesis 4/5, sensory transverse lesion L4, sphincter dysfunction | 3 | Lumbar disc prolapse: discectomy L3–4, L4–5 |
5 | 71, M | 14 | Distal accentuated paraparesis 3/5, mild hypesthesia of the right leg | 3 | |
6 | 66, M | 18 | Paraparesis 3/5, sensory transverse lesion L5, sphincter dysfunction | 4 | Lumbar spinal stenosis: dorsal decompression L1–2 |
7 | 55, M | 2 | Paraplegia and anesthesia below T8, sphincter dysfunction | 5 | |
8 | 67, M | 26 | Paraparesis 4/5, sensory transverse lesion T12, sphincter dysfunction | 2 | Intramedullary tumor: biopsy |
9 | 73, M | 9 | Paraparesis 3/5, sensory transverse lesion T5, sphincter dysfunction | 4 | Intramedullary tumor: biopsy |
10 | 70, M | 3 | Paraparesis 3/5, sensory transverse lesion S1, sphincter dysfunction | 4 | |
11 | 69, M | 6 | Paraparesis 1–2/5, sensory transverse lesion L4, sphincter dysfunction | 5 | |
12 | 67, F | 12 | No paresis, hypesthesia below T11, ataxia | 1 | |
13 | 63, M | 1 | Paraparesis 3/5, sphincter dysfunction | 3 | |
14 | 61, M | 11 | Distal accentuated paraparesis 3/5, hypesthesia of the right leg, ataxia, sphincter dysfunction | 3 | Lumbar spinal stenosis: dorsal decompression and discectomies L4–5, L5–S1 |
15 | 67, F | 9 | Paraparesis 4/5, dysesthesia below T12, paresthesia on the dorsum of the left foot | 2 | Lumbar disc prolapse: discectomy L5–S1 |
16 | 63, M | ND | No paresis, sensory transverse lesion L1, ataxia, sphincter dysfunction | 1 | Repeat insufficient embolizations of lsSDAVF |
17 | 55, M | 10 | Monoparesis left foot | 1 | Lumbar stenosis: dorsal decompression |
18 | 78, M | 4 | Spastic paraparesis 3/5, paresthesia in both feet, sphincter dysfunction | 4 | |
19 | 74, M | 24 | Paresis of the left leg 4/5, diffuse paresthesia of the lower extremities | 2 | |
20 | 53, F | 6 | No paresis, diffuse paresthesia of the lower extremities, mild ataxia, mild sphincter dysfunction | 1 |
Note:—AL-Score indicates Aminoff-Logue disability score; ND, no data.
↵a Muscle strength grade.