HEMATOMYELIA COMPLICATING A SPINAL DURAL ARTERIOVENOUS-FISTULA - CASE-REPORT

We report a case of hematomyelia which led to sudden onset complete pa raplegia in a 74-year-old man. Hematomyelia revealed a spinal dural ar teriovenous fistula at level T8-T9. Spinal hemorrhage was observed in contact with a round-shaped aneurysmal like ectasia which undoubtedly ruptured. Treatment was embolization, Spinal atrophy followed and MRI one year after embolisation visualized the involution of the pathologi cal vessels. We discuss the pathophysiology of this hemorrhagic accide nt and specific anomalies of the drainage veins in these malformations .