Successful endovascular and surgical treatment of spinal extradural metameric arteriovenous malformation

Case report

Jacob M. Fairhall, Rajesh Reddy, William Sears, Jason D. Wenderoth, Marcus A. Stoodley

    Research output: Contribution to journalArticle

    6 Citations (Scopus)

    Abstract

    A report of successful combined endovascular and surgical management of an unusual case of metameric (juvenile) spinal arteriovenous malformation (AVM) is presented. The malformation had extradural and paraspinal components, but no intradural elements. It had caused rapid neurological deterioration to near-complete paraplegia prior to treatment (American Spinal Injury Association [ASIA] Grade C). A combination of endovascular occlusion of major feeding vessels and excision of the malformation resulted in a complete neurological recovery (ASIA Grade E). The authors conclude that selected metameric AVMs can be successfully treated with multimodal therapy. This case further illustrates the fact that not all spinal vascular malformations are easily categorized.

    Original languageEnglish
    Pages (from-to)784-788
    Number of pages5
    JournalJournal of Neurosurgery: Spine
    Volume13
    Issue number6
    DOIs
    Publication statusPublished - Dec 2010

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