Endovascular treatment of epidural arteriovenous fistula associated with sacral arteriovenous malformation: case report

被引:0
|
作者
Alwahdy, Ahmad Sulaiman [1 ]
机构
[1] Fatmawati Gen Cent Hosp, Dept Neurol Intervent Neurol Subdiv, Jakarta, Indonesia
来源
FRONTIERS IN NEUROLOGY | 2024年 / 15卷
关键词
arteriovenous fistula; arteriovenous malformation; embolization; endovascular; epidural; spinal; ANGIOARCHITECTURE; VEIN;
D O I
10.3389/fneur.2024.1326182
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Spinal epidural arteriovenous fistulas with sacral arteriovenous malformation (AVM) are a rare type of spinal arteriovenous fistulas. There are two varieties of spinal epidural arteriovenous fistulas (SEDAVFs), with type 1 involving intradural venous drainage and type 2 not involving intradural venous drainage. We present a case of transarterial embolization for type 1 SEDAVFs with sacral AVM. Within 8 months, a 14-year-old boy presented with progressively weaker lower extremities and bladder-bowel dysfunction. Magnetic resonance imaging (MRI) of the whole spine revealed thoracic spinal cord congestion, a single dilated flow void running from the lumbosacral area to the conus medullaris, and continuing cranial draining up to the C5 level via the perimedullary vein. Filling of the venous sac through a preferential feeder after embolizing the AVM nidus was performed. After 3 months, the clinical follow-up showed improvement of motoric function, although mild. Endovascular treatment for SEDAVF type 1 might have achieved total obliteration without any procedural complications. Nevertheless, it can be very challenging due to multiple feeders and the presence of an AVM nidus like in this case. However, the most difficult thing in fistula cases is establishing the diagnosis and finding the fistula point. Early treatment is required, due to the fact that longstanding lesions could cause irreversible damage.
引用
收藏
页数:6
相关论文
共 50 条
  • [41] ARTERIOVENOUS MALFORMATION IN THE PRETRAGAL REGION: CASE REPORT
    Kim, Kyung Soo
    HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2011, 33 (02): : 281 - 285
  • [42] Embolization of pancreatic arteriovenous malformation: A case report
    Yoon, So Yeon
    Jeon, Gyeong Sik
    Lee, Shin Jae
    Kim, Dae Joong
    Kwon, Chang Il
    Park, Mi Hyun
    WORLD JOURNAL OF CLINICAL CASES, 2020, 8 (08) : 1471 - 1476
  • [43] Embolization of pancreatic arteriovenous malformation:A case report
    So Yeon Yoon
    Gyeong Sik Jeon
    Shin Jae Lee
    Dae Joong Kim
    Chang Il Kwon
    Mi Hyun Park
    World Journal of Clinical Cases, 2020, (08) : 1471 - 1476
  • [44] Endovascular Treatment Failure of Renal Arteriovenous Malformation due to an Extrarenal Feeding Artery: A Case Report
    Chen, Shulian
    Li, Guangjie
    Zhou, Hui
    Liang, Guobiao
    Luo, Xu
    Zhao, Zeju
    UROLOGIA INTERNATIONALIS, 2023, 107 (02) : 214 - 217
  • [45] DIAGNOSIS AND ENDOVASCULAR TREATMENT OF AN ARTERIOVENOUS FISTULA IN THE BREAST
    Comert, Rana Gunoz
    Cakir, Mehmet Semih
    Yilmaz, Ravza
    Emiroglu, Selman
    Acunas, Bulent
    JOURNAL OF ISTANBUL FACULTY OF MEDICINE-ISTANBUL TIP FAKULTESI DERGISI, 2024, 87 (01): : 95 - 100
  • [46] Vertex epidural hematoma associated with traumatic arteriovenous fistula of the middle meningeal artery: A case report
    Matsumoto, K
    Akagi, K
    Abekura, M
    Tasaki, O
    SURGICAL NEUROLOGY, 2001, 55 (05): : 302 - 304
  • [47] Endovascular Treatment in Spinal Perimedullary Arteriovenous Fistula
    Phadke, Rajendra V.
    Bhattacharyya, Avik
    Handique, Akash
    Jain, Krishan
    Kumar, Alok
    Singh, Vivek
    Baruah, Deb
    Kumar, Tushant
    Patwari, Sriram
    Mohan, B. Madan
    INTERVENTIONAL NEURORADIOLOGY, 2014, 20 (03) : 357 - 367
  • [48] Surgical treatment of superficial siderosis associated with a spinal arteriovenous malformation - Case report
    Schievink, WI
    Apostolides, PJ
    Spetzler, RF
    JOURNAL OF NEUROSURGERY, 1998, 89 (06) : 1029 - 1031
  • [49] Peroneal artery pseudoaneurysm associated with arteriovenous fistula managed by endovascular treatment
    Al-Zoubi, Nabil A.
    ACTA PHLEBOLOGICA, 2019, 20 (01): : 24 - 26
  • [50] Endovascular treatment of adult pial arteriovenous fistula
    Itami, Naohisa
    Sugiu, Kenji
    Tokunaga, Koji
    Ono, Shigeki
    Onoda, Keisuke
    Date, Isao
    NEUROLOGICAL SURGERY, 2007, 35 (06): : 599 - 605