Vascular malformations are developmental abnormalities of the vascular system, which may involve any part of the vascular tree: arteries, veins, or capillaries. Patients with Parkes Weber have been found to have large arteriovenous malformations (AVM).
We present a rare case of spinal AVM in a patient was newly diagnosed Parkes Weber syndrome. A 21-year-old male presented with worsening back pain with urinary retention and hypertrophied right lower limb. He was found to have a large spinal AVM with multiple AVMs in his right lower extremity. He was treated with surgical resection of his spinal AVM. Intraoperative angiography confirmed gross total resection of AVM. The patient was discharged from an acute rehab facility postoperative day fifteen without complications. The patient had two follow up since discharge and was found to have full strength and no urinary retention.
It is important to recognize this rare disorder for prompt treatment to prevent further progression of symptoms.
Diem Kieu Thi Tran, Michael Young, Li-Mei Lin, Frank PK Hsu