Evidence map›Paper›PMID 40770760›Full record

ReviewJournal of medical case reports2025

Acute onset of spinal dural arteriovenous fistula and rapid progression to complete paraplegia: a case report and review of the literature.

Xinling Su, Liping Huang, Gang Wang, Ming Zhou, Suhang Xie, Yangxiaoxue Liu

Abstract readCase ReportsReview
In one paragraph

Review in Journal of medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Effects of corticosteroid pretreatment in patients with spinal dural arteriovenous fistula.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xinling SuDepartment of Rehabilitation Medicine, The First Medical Center of Chinese, PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, China.
Liping HuangDepartment of Rehabilitation Medicine, The First Medical Center of Chinese, PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, China. huangliping301@163.com.
Gang WangDepartment of Rehabilitation Medicine, The First Medical Center of Chinese, PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, China.
Ming ZhouDepartment of Rehabilitation Medicine, The First Medical Center of Chinese, PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, China.
Suhang XieDepartment of Rehabilitation Medicine, The First Medical Center of Chinese, PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, China.
Yangxiaoxue LiuDepartment of Rehabilitation Medicine, The First Medical Center of Chinese, PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, China.

Funding

Ministry of Science and Technology of the People's Republic of China 2022YFB4703204
6 · The paper itself

Abstract

backgroundSpinal dural arteriovenous fistula usually has an insidious clinical course and is easily misdiagnosed. In some cases, acute exacerbation occurs following certain triggers, such as corticosteroid use and lumbar puncture. Here, we introduce a rare case of spinal dural arteriovenous fistula with acute onset, rapid progression, and no cause. CASE PRESENTATION: A 76-year-old Chinese male patient presented with numbness and weakness of the lower limbs that rapidly progressed to complete paralysis within 4 days. Patient was diagnosed with spinal dural arteriovenous fistula after magnetic resonance imaging and spinal vascular angiography, undergoing bilateral internal iliac artery embolization 2 weeks later, and started rehabilitation 40 days later but only received minimal improvement 1 year thereafter.

conclusionThis case highlights that spinal dural arteriovenous fistulas cannot be excluded in acute-onset or rapidly progressing spinal cord lesions; such patients with severe neurological dysfunction may have a poor prognosis even after prompt surgical treatment.

Indexed as

Central Nervous System Vascular MalformationsParaplegiaSpinal CordAcute DiseaseAgedAngiographyDisease ProgressionEmbolization, TherapeuticHumansMagnetic Resonance ImagingMaleTreatment OutcomeAcute onsetCase reportEndovascular embolizationRapid progressionSpinal dural arteriovenous fistula

Identifiers

PMID40770760
PMCPMC12330131

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.