Traumatic spinal perimedullary arteriovenous fistula due to knife stabbing and subsequent kyphosis

Case report

Yahui Bai M.D., Xinglong Zhi M.D., Fengzeng Jian M.D., Hongqi Zhang M.D., and Feng Ling M.D.
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  • Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, People's Republic of China
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Perimedullary arteriovenous fistula (AVF) is a relatively rare spinal vascular malformation. Although it has traditionally been considered to be a congenital lesion, some cases identified in adults have suggested that the lesion may be acquired. The etiology and exact mechanism of these lesions are unknown. The authors present a case of a perimedullary AVF caused by a direct stabbing injury of the spinal cord and induced by subsequent kyphosis, and they discuss the pathogenesis and treatment strategy.

Abbreviation used in this paper:AVF = arteriovenous fistula.

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Contributor Notes

Address correspondence to: Feng Ling, M.D., Department of Neurosurgery, Xuanwu Hospital of Capital Medical University, No. 45 Changchun St., Xicheng District, Beijing, People's Republic of China. email: Byh.MD@hotmail.com.

Please include this information when citing this paper: published online May 31, 2013; DOI: 10.3171/2013.5.SPINE121112.

  • 1

    Anson JA, & Spetzler RF: Interventional neuroradiology for spinal pathology. Clin Neurosurg 39:388417, 1992

  • 2

    Cho KT, , Lee DY, , Chung CK, , Han MH, & Kim HJ: Treatment of spinal cord perimedullary arteriovenous fistula: embolization versus surgery. Neurosurgery 56:232241, 2005

    • Search Google Scholar
    • Export Citation
  • 3

    Heuer GG, , Gabel BC, , Bhowmick DA, , Stiefel MF, , Hurst RW, & Schuster JM: Symptomatic high-flow arteriovenous fistula after a C-2 fracture. Case report. J Neurosurg Spine 8:381384, 2008

    • Search Google Scholar
    • Export Citation
  • 4

    Meng XL, , Zhang HQ, , Chen YF, & Ling F: Traumatic spinal perimedullary arteriovenous fistula: a case report. Acta Neurochir (Wien) 152:14071410, 2010

    • Search Google Scholar
    • Export Citation
  • 5

    Miyoshi Y, , Yasuhara T, , Nishida A, , Tokunaga K, , Sugiu K, & Date I: Effectiveness of intraoperative near-infrared indocyanine green videoangiography in a case with recurrent spinal perimedullary arteriovenous fistula. Clin Neurol Neurosurg 113:239242, 2011

    • Search Google Scholar
    • Export Citation
  • 6

    Mourier KL, , Gobin YP, , George B, , Lot G, & Merland JJ: Intradural perimedullary arteriovenous fistulae: results of surgical and endovascular treatment in a series of 35 cases. Neurosurgery 32:885891, 1993

    • Search Google Scholar
    • Export Citation
  • 7

    Tender GC, , Vortmeyer AO, & Oldfield EH: Spinal intradural arteriovenous fistulas acquired in late adulthood: absent spinal venous drainage in pathogenesis and pathophysiology. Report of two cases. J Neurosurg Spine 3:488494, 2005

    • Search Google Scholar
    • Export Citation

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