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Clinical Neuroradiology
Published in: Clinical Neuroradiology 1/2018

01-03-2018 | Original Article

Clinical Characteristics and Treatment Outcomes of Spinal Arteriovenous Malformations

Authors: Ji Eun Park, Hae-Won Koo, Hairi Liu, Seung Chul Jung, Danbi Park, Dae Chul Suh

Published in: Clinical Neuroradiology | Issue 1/2018

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Abstract

Purpose

Spinal arteriovenous malformations (SAVMs) are rare events. This study evaluated initial clinical presentations and treatment outcomes of SAVMs.

Methods

In this study, 91 consecutive patients with SAVM between January 1993 and November 2014 were evaluated. Initial clinical presentations, radiological findings, treatment results, and follow-up outcomes were evaluated according to disease type and treatment modalities. Patient status was scored using the modified Rankin scale (mRS) and Aminoff–Logue Disability scale (ALS).

Results

Of the SAVM patients 69 % were male and 31 % were female with a mean age of 49 years (range 11–82 years). At the time of initial imaging evaluation, myelopathy was the most common finding with main complaints of gait disturbance (69 out of 91, 76 %), sensory disturbances (61/91, 67 %), and bowel or bladder symptoms (51/91, 56 %). Among the 80 patients who received treatment 56 (62 %) underwent endovascular embolization and 24 (26 %) underwent surgery. Complete obliteration was achieved in 47 patients (84 %) after endovascular embolization and in 18 (75 %) after surgical ligation. At the time of final follow-up 67 patients (84 %) showed improvement of more than 1 point on the mRS, while 69 (86 %) showed significant improvement on the ALS after treatment.

Conclusion

The SAVMs presented with diverse neurological deficits, including myelopathy. Endovascular or surgical treatment of SAVMs can result in good clinical outcomes in most patients.
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Metadata
Title
Clinical Characteristics and Treatment Outcomes of Spinal Arteriovenous Malformations
Authors
Ji Eun Park
Hae-Won Koo
Hairi Liu
Seung Chul Jung
Danbi Park
Dae Chul Suh
Publication date
01-03-2018
Publisher
Springer Berlin Heidelberg
Published in
Clinical Neuroradiology / Issue 1/2018
Print ISSN: 1869-1439
Electronic ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-016-0541-0

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