Discrepancy between provocative test and clinical results following endovascular obliteration of spinal arteriovenous malformation

Surg Neurol. 1993 Aug;40(2):142-5. doi: 10.1016/0090-3019(93)90125-k.

Abstract

We report a case of spinal arteriovenous malformation with no signs of neurological deterioration after transarterial embolization, although the results of a provocative test with injection of lidocaine was positive on monitoring of clinical findings and somatosensory-evoked potentials (SEPs). We discussed the possible overestimation by the provocative test, and the limitations of SEP monitoring during endovascular surgery.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arteries / abnormalities
  • Arteriovenous Malformations / complications
  • Arteriovenous Malformations / physiopathology*
  • Arteriovenous Malformations / therapy*
  • Embolization, Therapeutic*
  • Evoked Potentials, Somatosensory
  • Humans
  • Hypesthesia / etiology
  • Leg
  • Lidocaine*
  • Male
  • Psychomotor Disorders / etiology
  • Spine / blood supply*

Substances

  • Lidocaine