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Ruptured cervical arteriovenous fistulas presenting with subarachnoid hemorrhage and quadriplegia: an uncommon case.

Liu CL, Su YC, Chen CC, Chong CF, Wang TL

Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei City 111, Taiwan ROC.

Nontraumatic subarachnoid hemorrhage is a neurologic emergency, and prompt treatment is necessary to avoid catastrophic result. We present a patient with subarachnoid hemorrhage caused by ruptured cervical intradural extramedullary arteriovenous fistulas, which rapidly progressed to quadriplegia. Because of the timely management, the patient had a good recovery. This is a rare but important case that emergency physicians should be aware of.

Published 14 February 2008 in Am J Emerg Med, 26(2): 249.e1-2.
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