<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732021000600593</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v37i6.12916</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Mielopatia de causa rara e tratável: relato de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Myelopathy of rare and treatable cause: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[Joana Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda]]></surname>
<given-names><![CDATA[Ana Filipa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreira]]></surname>
<given-names><![CDATA[Maria Pieri]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACeS Gondomar USF Valbom ]]></institution>
<addr-line><![CDATA[Gondomar ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ACeS Gondomar USF Sete Caminhos ]]></institution>
<addr-line><![CDATA[Gondomar ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,ACeS Gondomar USF Sete Caminhos ]]></institution>
<addr-line><![CDATA[Gondomar ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>37</volume>
<numero>6</numero>
<fpage>593</fpage>
<lpage>596</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732021000600593&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732021000600593&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732021000600593&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  As fístulas arteriovenosas durais espinhais (FAVDE) são raras e a sua apresentação clínica é inespecífica e insidiosa. A etiologia é desconhecida e tem incidência superior em homens de meia-idade.  Descrição do Caso:  Mulher de 50 anos, com antecedentes de depressão reativa, que se dirigiu ao médico de família por queixas álgicas após queda da própria altura com impacto na anca direita e joelhos. O exame objetivo e as imagens radiográficas não revelaram alterações importantes; contudo, as queixas persistiram apesar do tratamento conservador. O quadro inicial de coxalgia direita com predomínio noturno acresceu-se de disestesias dos membros inferiores e incontinência urinária e fecal. A utente foi referenciada para consulta externa de neurocirurgia, tendo sido detetada uma FAVDE.  Comentário:  O objetivo deste relato é evidenciar as dificuldades encontradas na avaliação da doente e aumentar a consciencialização para este problema raro, realçando a importância do diagnóstico e tratamento atempados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Spinal dural arteriovenous fistulas (FAVDE) are rare and have an unspecific and insidious clinical presentation. Its etiology is unknown and the incidence is higher in middle-aged men.  Case Description:  A 50-year-old woman, with a history of reactive depression, went to the family physician for pain after a fall with an impact on her right hip and knees. The physical exam and radiographic images did not show any pathological findings, however, the pain persisted despite the conservative treatment. Lower limb dysesthesia and urinary and fecal incontinence added to the initial symptoms of nocturne right hip pain. The patient was referred to a neurosurgery appointment and a FAVDE was detected.  Comment: The aim of this case report is to show the difficulties found in the evaluation of this patient and raise awareness for this rare pathology, enhancing the importance of a timely diagnosis and treatment.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Fístula arteriovenosa]]></kwd>
<kwd lng="pt"><![CDATA[Doenças vasculares da medula espinhal]]></kwd>
<kwd lng="pt"><![CDATA[Isquemia do cordão espinhal.]]></kwd>
<kwd lng="en"><![CDATA[Arteriovenous fistula]]></kwd>
<kwd lng="en"><![CDATA[Spinal cord vascular diseases]]></kwd>
<kwd lng="en"><![CDATA[Spinal cord ischemia.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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