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Published in: Acta Neurochirurgica 4/2020

01-04-2020 | Angiography | How I Do it - Vascular Neurosurgery - Arteriovenous malformation

Cervical spinal arteriovenous fistula with ventral perimedullary venous drainage

Authors: Subin Lee, David B. Choi, Ketan R. Bulsara

Published in: Acta Neurochirurgica | Issue 4/2020

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Abstract

Background

Spinal arteriovenous fistula (AVF) represents the most common type of spinal vascular lesions and is often associated with progressive neurological dysfunction.

Method

Here, we present a unique case of a spinal vascular malformation that does not fit the traditional classification schemes. The patient presented with progressive neurologic deficits resembling partial Brown-Sequard syndrome and was subsequently found to have a lesion resembling type I spinal AVF. However, this intradural fistula drained into the ventral venous plexus rather than dorsal.

Conclusion

Recognizing these rare anatomical variants is paramount in achieving successful obliteration and improved functional outcome for patients.
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Metadata
Title
Cervical spinal arteriovenous fistula with ventral perimedullary venous drainage
Authors
Subin Lee
David B. Choi
Ketan R. Bulsara
Publication date
01-04-2020
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 4/2020
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-019-04116-8

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