Document Detail


Exclusively epidural spinal metameric arteriovenous shunts: Case report and literature review.
MedLine Citation:
PMID:  25450654     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Spinal arteriovenous metameric syndrome (SAMS) is a subgroup of spinal arteriovenous malformations (AVMs). Most SAMS cases have intra- and extradural AVM and suffer from hematomyelia, subarachnoid hemorrhage, or venous congestive myelopathy.
PURPOSE: To present a rare case of SAMS in which spinal AVMs were exclusively epidural. We review previous literature and evaluate the feasibility of a treatment strategy using endovascular interventions followed by surgical obliteration.
STUDY DESIGN: A case report and literature review of SAMS.
METHODS: We report a case of a 15-year-old boy suffering from SAMS in which epidural venous ectasia due to extradural AVMs caused spinal cord compression.
RESULTS: The patient was successfully treated with multiple sessions of transarterial embolization followed by open surgery. After treatment, his neurological deficits resolved. Postoperative angiography confirmed complete obliteration of extradural AVMs.
CONCLUSION: Although exclusively epidural spinal AVM is an uncommon type of SAMS, combined endovascular and surgical interventions can be an effective treatment for AVMs to achieve a better radiological outcomes and complete resolution of patient symptoms.
Authors:
Alaa Elkordy; Toshiki Endo; Kenichi Sato; Yukihiko Sonoda; Akira Takahashi; Teiji Tominaga
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-11-28
Journal Detail:
Title:  The spine journal : official journal of the North American Spine Society     Volume:  -     ISSN:  1878-1632     ISO Abbreviation:  Spine J     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-12-2     Completed Date:  -     Revised Date:  2014-12-3    
Medline Journal Info:
Nlm Unique ID:  101130732     Medline TA:  Spine J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 Elsevier Inc. All rights reserved.
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