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Acta Neurochirurgica

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28-04-2023 | Brain Arteriovenous Malformation | How I Do it

How I do it: surgery for spinal arteriovenous malformations

Authors: Tobias Rossmann, Michael Veldeman, Rahul Raj, Martin Lehecka

Published in: Acta Neurochirurgica | Issue 6/2023

Abstract

Background

Spinal arteriovenous malformations (AVM) are rare lesions. They may present with intramedullary hemorrhage or edema, often inducing severe neurological deficits. Active treatment of spinal AVMs is challenging even for experienced neurosurgeons.

Method

Anticipation of anatomy and AVM angiocharacteristics from preoperative imaging is key for successful treatment. Information gathered from MRI and DSA has to be then matched to intraoperative findings. This is a prerequisite for reasonably safe and structured lesion removal.

Conclusion

We provide a structured approach for surgical treatment of spinal AVMs, supplemented by high-resolution video and imaging material.

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Brinjikji W, Lanzino G (2017) Endovascular treatment of spinal arteriovenous malformations. Handb Clin Neurol 143:161–174CrossRefPubMed

Ehresman J, Catapano JS, Baranoski JF, Jadhav AP, Ducruet AF, Albuquerque FC (2022) Treatment of spinal arteriovenous malformation and fistula. Neurosurg Clin N Am 33(2):193–206CrossRefPubMed

Gross BA, Du R (2013) Spinal glomus (type II) arteriovenous malformations: a pooled analysis of hemorrhage risk and results of intervention. Neurosurgery 72(1):25–32CrossRefPubMed

Kim LJ, Spetzler RF (2006) Classification and surgical management of spinal arteriovenous lesions: arteriovenous fistulae and arteriovenous malformations. Neurosurgery 59(5 Suppl 3):S195–S201PubMed

Lasjaunias P (2003) Spinal cord vascular lesions. J Neurosurg 98(1 Suppl):117–119PubMed

McGirt MJ, Garcés-Ambrossi GL, Parker SL, Sciubba DM, Bydon A, Wolinksy J-P, Gokaslan ZL, Jallo G, Witham TF (2010) Short-term progressive spinal deformity following laminoplasty versus laminectomy for resection of intradural spinal tumors: analysis of 238 patients. Neurosurgery 66(5):1005–1012CrossRefPubMed

Mizutani K, Consoli A, Maria FD, Condette Auliac S, Boulin A, Coskun O, Gratieux J, Rodesch G (2021) Intradural spinal cord arteriovenous shunts in a personal series of 210 patients: novel classification with emphasis on anatomical disposition and angioarchitectonic distribution, related to spinal cord histogenetic units. J Neurosurg Spine 2:1–11. https://doi.org/10.3171/2020.9.SPINE201258CrossRef

Santillan A, Nacarino V, Greenberg E, Riina HA, Gobin YP, Patsalides A (2012) Vascular anatomy of the spinal cord. J Neurointerv Surg 4(1):67–74CrossRefPubMed

Spetzler RF, Detwiler PW, Riina HA, Porter RW (2002) Modified classification of spinal cord vascular lesions. J Neurosurg 96(2 Suppl):145–156PubMed

10.

Zhan PL, Jahromi BS, Kruser TJ, Potts MB (2019) Stereotactic radiosurgery and fractionated radiotherapy for spinal arteriovenous malformations - a systematic review of the literature. J Clin Neurosci 62:83–87CrossRefPubMed

Title: How I do it: surgery for spinal arteriovenous malformations
Authors: Tobias Rossmann
Michael Veldeman
Rahul Raj
Martin Lehecka
Publication date: 28-04-2023
Publisher: Springer Vienna
Keywords: Brain Arteriovenous Malformation
Low Molecular Weight Heparin
Arteriovenous Malformation
Published in: Acta Neurochirurgica / Issue 6/2023
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-023-05598-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

How I do it: surgery for spinal arteriovenous malformations

Abstract

Background

Method

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Method

Conclusion

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