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
  • [21] Treatment of Spinal Arteriovenous Malformation and Fistula
    Ehresman, Jeff
    Catapano, Joshua S.
    Baranoski, Jacob F.
    Jadhav, Ashutosh P.
    Ducruet, Andrew F.
    Albuquerque, Felipe C.
    NEUROSURGERY CLINICS OF NORTH AMERICA, 2022, 33 (02) : 193 - 206
  • [22] Endovascular treatment for acute paraplegia after epidural steroid injection in a patient with spinal dural arteriovenous malformation Case report
    Oliver, T. Adam
    Sorensen, Michael
    Arthur, Adam S.
    JOURNAL OF NEUROSURGERY-SPINE, 2012, 17 (03) : 251 - 255
  • [23] Combined surgical and endovascular treatment of a spontaneous diploic arteriovenous fistula - Case report
    Burger, IM
    Tamargo, RJ
    Broussard, J
    Gailloud, P
    JOURNAL OF NEUROSURGERY, 2005, 103 (01) : 179 - 181
  • [24] Endovascular Treatment of Intracranial Pial-Dural Arteriovenous Fistula: A Case Report
    Shchehlov, D. V.
    Konotopchyk, S. V.
    Svyrydiuk, O. E.
    Bortnik, I. M.
    Momonova, M. Y.
    Vyval, M. B.
    SURGERY JOURNAL, 2020, 6 (02): : E118 - E124
  • [25] Treatment of arteriovenous malformation of the pancreas: a case report
    Gincul, Rodica
    Dumortier, Jerome
    Ciocirlan, Mihai
    Adham, Mustapha
    Queneau, Pierre-Edouard
    Ponchon, Thierry
    Pilleul, Frank
    EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2010, 22 (01) : 116 - 120
  • [26] Case Report: Incidental Spinal Epidural Arteriovenous Malformation and the Suitability of Epidural Anaesthesia
    Ford, S. R.
    Wray, S. L.
    Renfrew, I.
    ANAESTHESIA, 2012, 67 : 38 - 38
  • [27] Acquired arteriovenous fistula associated with traumatic oroantral fistula: Endovascular treatment
    Sanborn, Matthew R.
    Nasrallah, Ilya
    Stanton, David C.
    Stiefel, Michael F.
    Hurst, Robert W.
    Pukenas, Bryan A.
    HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2013, 35 (05): : E138 - E141
  • [28] Primary conus medullaris arteriovenous shunt and secondary lumbo-sacral epidural arteriovenous fistula: One malformation can hide another
    Guedon, Alexis
    Condette-Auliac, Stephanie
    Consoli, Arturo
    Di Maria, Federico
    Coskun, Oguzhan
    Rodesch, Georges
    JOURNAL OF NEURORADIOLOGY, 2021, 48 (01) : 16 - 20
  • [29] Spinal epidural arteriovenous fistula with intramedullary reflux - Case report
    Pirouzmand, F
    Wallace, C
    Willinsky, R
    JOURNAL OF NEUROSURGERY, 1997, 87 (04) : 633 - 635
  • [30] Endovascular treatment of a giant renal artery aneurysm associated with an arteriovenous fistula: Report of a case and review of the literature
    Pappas, Georgios M.
    Sfyroeras, George S.
    Krinos, Nikolaos T.
    Theodosopoulos, Ioannis T.
    Spiliopoulos, Stavros
    Brountzos, Elias N.
    Geroulakos, George
    VASCULAR, 2022, 30 (06) : 1080 - 1087