Siani A, Garrett A, Thomas N. Case Report: Differential Diagnosis of Lower Extremity Weakness in a Young Male - Consider Foix Alajouanine Syndrome.
Clin Pract Cases Emerg Med 2022;
6:13-16. [PMID:
35226839 PMCID:
PMC8885224 DOI:
10.5811/cpcem.2021.8.52660]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Accepted: 08/12/2021] [Indexed: 11/26/2022] Open
Abstract
Introduction
There is a limited list of emergent spinal cord pathology that must be
considered in patients with focal neurological deficits in the emergency
department. Identification of these conditions requires a detailed history
and neurological exam and may also require advanced testing and imaging.
Case Report
Here we present the case of a patient with a rare arteriovenous malformation
of the spinal cord vessels causing congestive myelopathy (Foix-Alajouanine
syndrome) that presented as a clinical mimic of spinal cord compression.
Conclusion
Emergency physicians should be aware of Foix-Alajouanine syndrome, as its
workup and management differ from more common pathologies that may present
similarly.
Collapse