Spinal epidural arteriovenous fistulas associated with progressive myelopathy

Report of four cases

View More View Less
  • Department of Neuroradiology, Hôpital Purpan, University of Toulouse, France
Restricted access

Purchase Now

USD  $45.00

Spine - 1 year subscription bundle (Individuals Only)

USD  $376.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $612.00
Print or Print + Online

✓The authors report the cases of four patients who presented with progressive myelopathy (one patient had been asymptomatic for 25 years) due to spinal epidural arteriovenous fistulas (AVFs). Clinical symptoms and magnetic resonance imaging findings were similar to those of dural AVFs. In contrast to dural AVFs, angiography showed that the lesions were fed by multiple vessels and drained in one case in multiple veins. Perimedullary venous drainage was visible in three of the four cases. All fistulas were cured by embolization; arterial access was used in two cases and venous in two. The authors' aim in this paper is to emphasize the differences between dural and epidural AVFs in terms of their physiopathology and angioarchitecture as well as the therapeutic strategy.

Abbreviations used in this paper:

ASA = anterior spinal artery; AVF = arteriovenous fistula; MR = magnetic resonance.

Spine - 1 year subscription bundle (Individuals Only)

USD  $376.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $612.00
  • 1

    Aminoff MJ, , Barnard RO, & Logue V: The pathophysiology of spinal vascular malformations. J Neurol Sci 23:255263, 1974

  • 2

    Arnaud O, , Bille F, , Pouget J, , Serratrice G, & Salamon G: Epidural arteriovenous fistula with perimedullary venous drainage: case report. Neuroradiology 36:490491, 1994

    • Search Google Scholar
    • Export Citation
  • 3

    Benhaiem N, , Poirier J, & Hurth M: Arteriovenous fistulae of the meninges draining into the spinal veins. A histological study of 28 cases. Acta Neuropathol 62:103111, 1983

    • Search Google Scholar
    • Export Citation
  • 4

    Chuang NA, , Shroff MM, , Willinsky RA, , Drake JM, , Dirks PB, & Armstrong DC: Slow-flow spinal epidural AVF with venous ectasias: two pediatric case reports. AJNR Am J Neuroradiol 24:19011905, 2003

    • Search Google Scholar
    • Export Citation
  • 5

    Chul Suh D, , Gon Choi C, , Bo Sung K, , Kim KK, & Chul Rhim S: Spinal osseous epidural arteriovenous fistula with multiple small arterial feeders converging to a round fistular nidus as a target of venous approach. AJNR Am J Neuroradiol 25:6973, 2004

    • Search Google Scholar
    • Export Citation
  • 6

    Kahara V, , Lehto U, , Ryymin P, & Helen P: Vertebral epidural arteriovenous fistula and radicular pain in neurofibromatosis type I. Acta Neurochir (Wien) 144:493496, 2002

    • Search Google Scholar
    • Export Citation
  • 7

    Krings T, , Mull M, , Bostroem A, , Otto J, , Hans FJ, & Thron A: Spinal epidural arteriovenous fistula with perimedullary drainage. Case report and pathomechanical considerations. J Neurosurg Spine 5:353358, 2006

    • Search Google Scholar
    • Export Citation
  • 8

    Lasjaunias P, & Berenstein A, Spinal and spinal cord arteries and veins. Lasjaunias P, & Berenstein A: Surgical Neuroangiography Berlin, Springer-Verlag, 1990. 3:1583

    • Search Google Scholar
    • Export Citation
  • 9

    Merland JJ, , Riche MC, & Chiras J: Intraspinal extramedullary arteriovenous fistulae draining into the medullary veins. J Neuroradiol 7:271320, 1980

    • Search Google Scholar
    • Export Citation
  • 10

    Pirouzmand F, , Wallace MC, & Willinsky R: Spinal epidural arteriovenous fistula with intramedullary reflux. Case report. J Neurosurg 87:633635, 1997

    • Search Google Scholar
    • Export Citation
  • 11

    Rodesch G, & Lasjaunias P: Spinal cord arteriovenous shunts: from imaging to management. Eur J Radiol 46:221232, 2003

  • 12

    Willinsky R, , terBrugge K, , Montanera W, , Wallace MC, & Gentili F: Spinal epidural arteriovenous fistulas: arterial and venous approaches to embolization. AJNR Am J Neuroradiol 14:812817, 1993

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 503 106 9
Full Text Views 126 19 2
PDF Downloads 127 22 3
EPUB Downloads 0 0 0