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Article: Spinal dural arteriovenous fistula: a treatable cause of myelopathy
- Article from:
- Canadian Medical Association. Journal
- Article date:
- May 6, 2008
- Author:
CopyrightCopyright Canadian Medical Association May 6, 2008. Provided by ProQuest LLC. (Hide copyright information)
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The case: A previously healthy 46- year-old man, who works as a standing forklift operator, presented to an emergency department with a 1-day history of bilateral leg "soreness" and numbness in his right leg ascending to his groin. Seven-months before while lifting a heavy box, he had experienced sudden pain in his right buttock and leg that was treated with anti-inflammatory medications and rest. Subsequently, he began to experience bilateral leg fatigue with moderate activity, occasional nocturnal urinary incontinence, stiffness of gait with dragging of the right leg and leg weakness elicited by hot baths (Uhthoff phenomenon). The patient also reported a 12-month history of intermittent ...