A 27-year-old female with Klippel-Trenaunay Syndrome presented for reconstructive surgery of the deep venous system of the right leg. Contrast enhanced dynamic computed tomography was performed to exclude the presence of arteriovenous malformation of the lumbosacral spine. A combined spinal-epidural technique supplemented with light general anaesthesia was performed. The patient's condition was stable throughout the three hours of surgery and postoperative analgesia was maintained successfully for three days.
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13.
Di ChiroG., ReithK.G., OldfieldE.H., TievskyA.L., DoppmanJ.L., DavisD.O.Digital subtraction angiography and dynamic computed tomography in the evaluation of arteriovenous malformations and haemangioblastomas of the spinal cord.J Comp Assist Tomography1982; 6: 665–670.
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HojerC., BewermeyerH., AssheuerJ., HeddeJ.P., MenzelJ.Diagnosis of spinal arteriovenous malformations by MRI at 1.0 T.Clin Imaging1996; 20: 79–84.
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GrazianiN., BouillotP., Figarella-BrangerD., DufourH., PeragutJ.C., GrisoliF.Cavernous angiomas and arteriovenous malformations of the spinal epidural space: report of 11 cases.Neurosurgery1994; 35: 856–864.
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D'AmicoJ.A., HoffmanG.C., GymentP.G.Klippel-Trenaunay syndrome associated with chronic disseminated intravascular coagulation and massive osteolysis.Clev Clin Quarterly1977; 44: 181–186.
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Gourie-DeviM., PrakashB.Vertebral and epidural haemangioma with paraplegia in Klippel-Trenaunay-Weber syndrome.J Neurosurg1978; 48: 814–817.