Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2021; 9(20): 5594-5604
Published online Jul 16, 2021. doi: 10.12998/wjcc.v9.i20.5594
Spinal dural arteriovenous fistula 8 years after lumbar discectomy surgery: A case report and review of literature
Yang Ouyang, Yang Qu, Rong-Peng Dong, Ming-Yang Kang, Tong Yu, Xue-Liang Cheng, Jian-Wu Zhao
Yang Ouyang, Yang Qu, Rong-Peng Dong, Ming-Yang Kang, Tong Yu, Xue-Liang Cheng, Jian-Wu Zhao, Department of Orthopaedics, The Second Hospital of Jilin University, Changchun 130041, Jilin Province, China
Author contributions: Ouyang Y, Qu Y, Dong RP and Kang MY were the patient’s neurosurgeons, and they also reviewed the literature and contributed to manuscript drafting; Yu T and Cheng XL reviewed and analyzed imaging findings; Zhao JW reviewed the whole manuscript and revised it; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian-Wu Zhao, PhD, Doctor, Department of Orthopaedics, The Second Hospital of Jilin University, No. 218 Ziqiang Street, Nanguan District, Changchun 130041, Jilin Province, China. jianwu@jlu.edu.cn
Received: March 1, 2021
Peer-review started: March 1, 2021
First decision: May 11, 2021
Revised: May 19, 2021
Accepted: May 27, 2021
Article in press: May 27, 2021
Published online: July 16, 2021
Core Tip

Core Tip: Spinal dural arteriovenous fistulas (SDAVFs) are rare disorders because its onset and early symptoms resemble more common disorders, especially spinal degeneration disease. It is therefore often misdiagnosed and misclassified, resulting in ineffective clinical interventions, hence poor prognosis. Here, we report a case of SDAVF that went into remission, but symptoms recurred 8 years later as lumbar spinal stenosis, supporting the idea that SDAVF is an acquired disorder. Currently, imaging is an important way of confirming SDAVF diagnosis. Early, effective treatment may significantly improve SDAVF prognosis.