Spinal Cord Intradural Arteriovenous Fistulae: Anatomic, Clinical, and Therapeutic Considerations in a Series of 32 Consecutive Patients Seen between 1981 and 2000 with Emphasis on Endovascular Therapy

Rodesch, Georges; Hurth, M; Álvarez, H.; Tadié, M; Lasjaunias, P.

doi:10.1227/01.neu.0000181314.94000.cd

Cited by 117 publications

(74 citation statements)

References 21 publications

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“…NBCA currently offers the best results. 20) Particulate embolic We achieved complete occlusion of the type III perimedullary AVF in our patient by an endovascular combination of NBCA and platinum coils, and obtained a favorable outcome. Such combined treatment using NBCA and coils has been used previously.…”

Section: Discussionmentioning

confidence: 71%

“…Type III perimedullary AVFs have been reported in several children with SAH, 8,[18][19][20][21] but none in infants with SAH. The reported annual incidence of SAH in individuals younger than 15 years is 1 case per 1 000 000 population.…”

Section: Discussionmentioning

confidence: 99%

“…Perimedullary AVFs were treated initially with clipping, 5) but recently with embolization 1,2,5,7,8,[19][20][21] and combined embolization and surgery. 1,7,8,14,15,[18][19][20][21]23) The presence of small pial artery networks around the spinal cord 11) hinder complete isolation of the AVF by clipping of the large feeding arteries.…”

Section: Discussionmentioning

confidence: 99%

“…1,7,8,14,15,[18][19][20][21]23) The presence of small pial artery networks around the spinal cord 11) hinder complete isolation of the AVF by clipping of the large feeding arteries.…”

Section: Discussionmentioning

confidence: 99%

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Cervical Perimedullary Arteriovenous Fistula in an Infant Presenting With Subarachnoid Hemorrhage -Case Report-

Sasamori

Hida

Yano

et al. 2008

Neurol. Med. Chir.(Tokyo)

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A 9-month-old boy was transferred to our institute after suffering sudden seizure and loss of consciousness followed by cardiopulmonary arrest. Neurological examination on admission revealed deep coma and tetraparesis. Brain computed tomography revealed diffuse intracranial subarachnoid hemorrhage (SAH), whereas brain magnetic resonance (MR) angiography showed no intracranial abnormalities. MR imaging of the spine demonstrated a remarkable flow void extending from C3 to T1. Digital subtraction angiography revealed a perimedullary arteriovenous fistula (AVF) fed by the left thyrocervical trunk, associated with a varix and a dilated perimedullary vein. He had hypoxic encephalopathy due to transient cardiopulmonary arrest, and remained in the intensive care unit for 2 months. Thereafter, he was transferred to the pediatric ward, where his general condition improved, and after 7 months underwent embolization of the AVF to prevent further SAH. The perimedullary AVF was successfully interrupted by transarterial embolization with n-butyl-2-cyanoacrylate and platinum coils, and no additional neurological deficits developed. Post-embolization MR imaging showed loss of the flow void. The favorable outcome demonstrates the importance of spinal cord imaging in infants with SAH without other intracranial abnormalities to detect the presence of perimedullary AVF. Perimedullary AVFs in children are often associated with huge fistulas and varices, so are good candidates for endovascular surgery.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…1,7,8,14,15,[18][19][20][21]23) The presence of small pial artery networks around the spinal cord 11) hinder complete isolation of the AVF by clipping of the large feeding arteries.…”

Section: Discussionmentioning

confidence: 99%

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Cervical Perimedullary Arteriovenous Fistula in an Infant Presenting With Subarachnoid Hemorrhage -Case Report-

Sasamori

Hida

Yano

et al. 2008

Neurol. Med. Chir.(Tokyo)

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“…13,34,55 The clinical presentation is characterized by progressive motor and sensory symptoms, with spasticity, paresthesias, pain, bladder, and bowel disturbances, and sexual dysfunction. 37,46,48,53 Hemorrhage is extremely rare. 20 A lag between initial symptoms and diagnosis is common, on average 10.5 months in our series.…”

Section: Spinal Davfsmentioning

confidence: 99%

Spinal cord vascular shunts: spinal cord vascular malformations and dural arteriovenous fistulas

Costa

Dehdashti²,

terBrugge

2009

FOC

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Object Spinal cord vascular malformations are rare, fascinating lesions. In this paper, the authors' goal was to demonstrate how these lesions, more specifically spinal cord arteriovenous malformations and dural arteriovenous fistulas, are assessed, classified, and managed at their institution. They also highlight some aspects of classification and management that may be different from the views of others. Methods The authors reviewed the 20-year experience at the senior author's institution regarding the management of spinal cord vascular malformations. They discuss the management, surgical and endovascular treatment results, and the classification that resulted from the combined experience of 3 major reference centers. Results The accumulated knowledge on embryological and pathophysiological aspects in such a rare disease resulted in a more global, patient-oriented (and not radiologically oriented) approach to spinal cord shunts. Conclusions The multiple classifications proposed for spinal cord vascular malformations reflect the continuous advancement of the authors' understanding. They adopt a classification based on new physiological and genetic data that treats these lesions as expressions of more complex disease processes and not simply a morphological target, with direct impact on therapeutic options.

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Endovascular Treatment of Vascular and Nonvascular Diseases of the Spine

Rahimi¹,

Shaibani²,

Wakhloo³

2010

Image-Guided Spine Interventions

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Spinal Cord Intradural Arteriovenous Fistulae: Anatomic, Clinical, and Therapeutic Considerations in a Series of 32 Consecutive Patients Seen between 1981 and 2000 with Emphasis on Endovascular Therapy

Cited by 117 publications

References 21 publications

Cervical Perimedullary Arteriovenous Fistula in an Infant Presenting With Subarachnoid Hemorrhage -Case Report-

Cervical Perimedullary Arteriovenous Fistula in an Infant Presenting With Subarachnoid Hemorrhage -Case Report-

Spinal cord vascular shunts: spinal cord vascular malformations and dural arteriovenous fistulas

Endovascular Treatment of Vascular and Nonvascular Diseases of the Spine

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