An Acquired Cervical Dural Arteriovenous Fistula After Cervical Anterior Fusion: Case Report and Literature Review

Kanematsu, Ryo; Hanakita, Junya; Takahashi, Toshiyuki; Tomita, Yosuke; Minami, Manabu

doi:10.1016/j.wneu.2019.04.202

Cited by 9 publications

(9 citation statements)

References 21 publications

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“…The dAVF is thought to originate from venous outflow obstruction (eg, spontaneous thrombosis, trauma) and subsequent arterialization of the coronal venous plexus [2] . In majority of the case the exact etiology cannot be found with some rare cases of postoperative fistulas also described [6] .…”

Section: Discussionmentioning

confidence: 99%

A rare case of a cervical dural arteriovenous fistula presenting in a younger patient with vertex subarachnoid hemorrhage: Case report and literature review

Hamid

Choi

Raghuram

et al. 2020

Radiology Case Reports

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Spinal dural arteriovenous fistulas (SDAVF) are rare entities, which mainly occur in the thoracic and lumbar regions of older adults with a significant male predominance. The clinical manifestations are nonspecific such as myelopathy and this can make it challenging to diagnose. Rarely these have been described in the cervical region with even rare manifestations including subarachnoid hemorrhage. In the few reports of hemorrhage, it is usually infratentorial. We present a case of 40-year-old female (uncommon gender and younger age) who presented with headaches and was found to have supra tentorial subarachnoid hemorrhage and a suspicious lesion in the spinal canal. This proved to be a type 1 AVM of the spinal canal (per the American British and French classification). This was successfully treated endovascularly. With the discussion of the relevant literature we hope that this case can add to our medical knowledge as another presentation of this uncommon condition and ultimately help in diagnosing this illusive and rare entity.

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Section: Discussionmentioning

confidence: 99%

A rare case of a cervical dural arteriovenous fistula presenting in a younger patient with vertex subarachnoid hemorrhage: Case report and literature review

Hamid

Choi

Raghuram

et al. 2020

Radiology Case Reports

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“…Several factors affect blood flow in the vertebral artery region after lumbar disk surgery, including inflammation, disk tissue removal, and subsequent deterioration or SDAVF occurrence 3,6 . Kanematsu et al 4 described a patient with acquired cervical DAVF after cervical spine surgery and speculated that SDAVF might be a potential long-term complication of anterior cervical diskectomy and fusion surgery. Elswick et al 5 reported a 74-year-old woman who developed an SDAVF after scoliosis surgery, further agreeing with the notion that trauma or inflammation could lead to acquired SDAVF.…”

Section: Discussionmentioning

confidence: 99%

Rapidly Progressive Paraplegia Resulting from Latent Cervical Dural Arteriovenous Fistula After Lumbar Surgery

Han

Ren

Liu

et al. 2022

JBJS Case Connector

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Case:A 68-year-old woman developed symptoms of acute paraplegia due to an occult cervical dural arteriovenous fistula (DAVF) after a minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF). She was subsequently diagnosed by angiography and treated with vascular embolization. A 2-year follow-up showed that the patient's upper limb muscle strength returned to normal, and the lower limb muscle strength partially improved with remnant motor dysfunction.Conclusion:For patients with symptoms of nerve injury inconsistent with the spinal surgery site, a possibility of DAVF should be considered, and related investigations should be performed. Once diagnosed, active treatment is required.

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“…In addition, they speculated that establishing an abnormal shunt may cause by thrombosis of the perimedullary veins. Recently, Kanematsu et al [27] described a middle-aged male with an acquired cervical DAVF as a late complication after cervical anterior fusion. The radiologic findings, obtained 2 years before the initial operation, clearly showed no evidence of SDAVF.…”

Section: Discussionmentioning

confidence: 99%

Acquired lumbosacral spinal dural arteriovenous fistula in association with degenerative lumbosacral disc herniation and spinal canal stenosis: Report of two cases and review of the literature

et al. 2020

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The authors describe two cases harboring lumbosacral spinal dural arteriovenous fistulas (SDAVFs) manifested with nonspecific initial symptoms, leading to misdiagnosis and unnecessary procedures. A curvilinear flow void in the lumbar region and thoracic cord congestion with subtle perimedullary flow voids were detected on magnetic resonance imaging (MRI) in both patients. Contrast-enhanced magnetic resonance angiography and spinal angiography confirmed the SDAVFs in the lower lumbar and sacral region. Both fistulas were located at the same level of disc herniation and spinal canal stenosis and supplied by branches of the internal iliac arteries (i.e., iliolumbar and lateral sacral arteries) with cranial drainage from the dilated vein of the filum terminale, corresponding to a curvilinear flow void, to the perimedullary veins. The first case was successfully treated with embolization. Another case had recanalization of the fistula 4 months after endovascular treatment and was successfully treated with surgical interruption of the fistula. Our two case reports may provide additional evidence supporting an acquired etiology of SDAVFs, probably secondary to lumbosacral disc herniation and spinal canal stenosis. The authors also reviewed literature about preexistent lumbosacral SDAVFs associated with disc herniation and spinal canal stenosis. From our review, the level of SDAVFs in most patients is correlated with the level of disc herniation, spondylolisthesis, and/or spinal stenosis.

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An Acquired Cervical Dural Arteriovenous Fistula After Cervical Anterior Fusion: Case Report and Literature Review

Cited by 9 publications

References 21 publications

A rare case of a cervical dural arteriovenous fistula presenting in a younger patient with vertex subarachnoid hemorrhage: Case report and literature review

A rare case of a cervical dural arteriovenous fistula presenting in a younger patient with vertex subarachnoid hemorrhage: Case report and literature review

Rapidly Progressive Paraplegia Resulting from Latent Cervical Dural Arteriovenous Fistula After Lumbar Surgery

Acquired lumbosacral spinal dural arteriovenous fistula in association with degenerative lumbosacral disc herniation and spinal canal stenosis: Report of two cases and review of the literature

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