| Multiple spinal perimedullary arteriovenous fistulae associated with the parkes-weber syndrome. A case report. | |
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MedLine Citation:
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PMID: 20673403 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Summary: We present a rare case of multiple spinal perimedullary arteriovenous fistulae associated with the Parkes-Weber (PW) syndrome. A 31-year-old male known to have the PW syndrome involving the left leg since birth, presented with a 7-month-history of progressive myelopathy of the lower extremities and dysfunction of the bladder and bowel. Myelography demonstrated dilated intradural vessels. Angiography demonstrated two distinct single hole perimedullary arteriovenous fistulae near the conus at two different metameres. They were supplied by the left posterior spinal artery. The patient was treated by transarterial embolisation using polyvinyl alcohol particles, which resulted in venous side occlusion of the fistulae. After the treatment, the patient developed transient worsening of the spasticity of the lower extremities, and was treated by heparinization. After heparinization, the patient partially recovered from the pre-embolisation status of his myelopathy. The follow-up angiogram one year after the embolisation demonstrated persistent obliteration of both fistulae. At long-term follow-up, the patient can ambulate without assistance and work as a farmer. |
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Authors:
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Y Niimi; U Ito; O Tone; K Yoshida; S Sato; A Berenstein |
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Publication Detail:
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Type: Journal Article Date: 2001-05-15 |
Journal Detail:
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Title: Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences Volume: 4 ISSN: 1591-0199 ISO Abbreviation: Interv Neuroradiol Publication Date: 1998 Jun |
Date Detail:
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Created Date: 2010-08-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9602695 Medline TA: Interv Neuroradiol Country: Italy |
Other Details:
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Languages: eng Pagination: 151-7 Citation Subset: - |
Affiliation:
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Endovascular Surgery Center, Institute for Neurology and Neurosurgery, Beth Israel Medical Center North Division, Albert Einstein College of Medicine; New York, NY, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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