Spinal arteriovenous malformation presenting as meningitis.
An 8-month-old boy presented with a two-day history of lethargy. Meningitis was suspected, and cerebrospinal fluid examination demonstrated pleocytosis and elevated protein. After initial improvement with antibiotic and steroid therapy, progressive lower extremity weakness developed, and a midthoracic spinal cord arteriovenous malformation (AVM) was diagnosed. These lesions present rarely in infancy; the classification and pathophysiology of spinal cord AVMs are reviewed.
Lowe, DW; Gospe, SM; Hecht, ST
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