A Localized Lumbar Spinal Root Arteriovenous Malformation Presenting with Radicular Signs and Symptoms

Gennuso, Rosemaria; Zappulla, Rosario A.; Strenger, Scott W.

doi:10.1097/00007632-198905000-00016

Cited by 13 publications

(5 citation statements)

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“…We have found only 1 report in our PubMed/ Medline search of a spinal root AVM. 4 Gennuso et al 4 reported on a 55-year-old man with back pain and left heel paresthesias in whom MR images demonstrated the presence of an intradural lesion with hyperintense signal and low signal in the center. At surgery, an AVM with thrombus and calcification was found, and the pathology report confirmed the nature of the lesion.…”

Section: Discussionmentioning

confidence: 99%

Spinal root arteriovenous malformations and same-segment cord cavernous malformation in familial cerebral cavernous malformation

Souza¹,

Domingues²,

Chimelli

et al. 2008

SPI

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Spinal vascular malformations are uncommon lesions, and controversy persists regarding optimal investigation, classification, and treatment strategies. The authors report on a patient with a spinal root arteriovenous malformation (AVM) associated with a parenchymal cavernous malformation (CM) in the same spinal cord segment and describe a complete familial and molecular investigation. This 35-year-old woman presented with symptoms of progressive clinical spastic paraparesis. Magnetic resonance imaging results were suggestive of a spinal cord cavernoma associated with cerebral CMs. Her family history included 2 sisters treated for epilepsy. At surgery an intraspinal root AVM was found at the same level of the cord CM, and both lesions were completely removed. Cerebral gradient echo MR imaging disclosed multiple cavernomas in her relatives, which prompted the molecular diagnosis. On sequence analysis, a novel mutation on the cerebral CM1 (CCM1) gene (c796insA) was found. The authors report on a unique case of familial cerebral CM in which a spinal root AVM was situated next to a cord CM, and discuss the concomitant occurrence of altered nervous system angiogenesis and vasculogenesis.

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Section: Discussionmentioning

confidence: 99%

Spinal root arteriovenous malformations and same-segment cord cavernous malformation in familial cerebral cavernous malformation

Souza¹,

Domingues²,

Chimelli

et al. 2008

SPI

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“…As in this case, it usually occurs in middle-aged men in the lower thoracic or lumbar region. Typical early symptoms are dermatomal lancinating pain, weakness/paralysis, numbness, and paresthesia [9-11]. …”

Section: Discussionmentioning

confidence: 99%

Spinal Arteriovenous Malformation Masquerating Zoster Sine Herpete

Lee

et al. 2013

Korean J Pain

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Zoster sine herpete (ZSH) is difficult to diagnosis during an acute period due to the absence of the characteristic zosteriform dermatomal rash; therefore, progression to postherpetic neuralgia is more common than typical zoster. In addition, misdiagnosis of other neuropathic pain as ZSH is common in clinical situations. Here, we report a case of spinal arteriovenous malformation that mimics ZSH. This is a rare condition; therefore, high clinical suspicion for a correct diagnosis and proper examination are not easy. However, early diagnosis and definitive treatment are essential to prevent neurologic deficit and mortality.

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“…Occasionally, the angiographic characteristics described above may be difficult to differentiate from those of other vascular lesions: that is, radicular AVMs, epidural AVSs, or perimedullary AVFs. Radicular AVMs or AVMs of the nerves usually have a conglomerate of abnormal vessels that form a nidus surrounding the nerve root, 3,13 whereas spinal DAVFs will have an apparent shunt zone, with radicular feeding vessels converging into the same draining vein. Clinically, patients suffering from a radicular AVM often present with radicular pain and only rarely show signs of congestive venous myelopathy.…”

Section: Discussionmentioning

confidence: 99%

Cervical spine dural arteriovenous fistula presenting with congestive myelopathy of the conus

Geibprasert

Pongpech

Jiarakongmun

et al. 2009

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Spinal dural arteriovenous fistulas (DAVFs) are the spinal vascular malformations that are encountered most often, and they are usually encountered in the lower thoracic region. Cervical spine DAVFs are exceedingly rare and may be difficult to differentiate from radicular arteriovenous malformations, epidural arteriovenous shunts, or perimedullary AVFs. Typical angiographic findings in spinal DAVFs include a slow-flow shunt with converging feeding vessels from radiculomeningeal arteries draining via a radicular vein centripetally into perimedullary veins. The MR imaging findings such as spinal cord edema and perimedullary dilated vessels may be used to direct the spinal angiography that is needed to localize and classify the shunt. When the shunt is distant from the pathological imaging findings, the diagnosis may be difficult to establish, especially when the shunt is present at an atypical location such as the cervical spine. The authors present the case of a 51-year-old man presenting with lower thoracic and conus medullaris congestive edema due to a cervical spine DAVF that was located at the C-5 level. Transarterial embolization with N-butyl cyanoacrylate closed the proximal vein and completely obliterated the fistula. Clinical and imaging follow-up confirmed occlusion of the fistula, with improvement in clinical symptoms.

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A Localized Lumbar Spinal Root Arteriovenous Malformation Presenting with Radicular Signs and Symptoms

Cited by 13 publications

References 0 publications

Spinal root arteriovenous malformations and same-segment cord cavernous malformation in familial cerebral cavernous malformation

Spinal root arteriovenous malformations and same-segment cord cavernous malformation in familial cerebral cavernous malformation

Spinal Arteriovenous Malformation Masquerating Zoster Sine Herpete

Cervical spine dural arteriovenous fistula presenting with congestive myelopathy of the conus

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