Document Detail

Thrombosis of a spinal arteriovenous malformation after hemorrhage: case report.
MedLine Citation:
PMID:  14706393     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Thrombosis of cerebral arteriovenous malformations (AVM) and spinal dural arteriovenous fistulas following hemorrhage rarely have been reported. Rarer still is thrombosis of spinal AVMs following hemorrhage. CASE DESCRIPTION: A 6-year-old boy presented with sudden low back and sciatic pain, bilateral leg weakness, and an intramedullary spinal cord hematoma. Spinal angiography demonstrated dilated feeding arteries without shunting, and no intervention was performed. Over time, these enlarged arteries reduced in caliber, and the patient recovered fully. CONCLUSIONS: The rarity of spinal AVMs and AVM thrombosis make their coincidence in this case unique. Although surgical intervention would have enabled definitive diagnosis of the spinal AVM, it is not mandatory in the absence of arteriovenous shunting. What is mandatory, however, is continued angiographic surveillance, particularly in pediatric patients.
Jay Y Chun; Mittul Gulati; Van Halbach; Michael T Lawton
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical neurology     Volume:  61     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-01-06     Completed Date:  2004-02-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  92-4     Citation Subset:  IM    
Department of Neurological Surgery, University of California at San Francisco, San Francisco, California 94143-0112, USA.
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MeSH Terms
Arteriovenous Malformations / pathology*
Hematoma, Subdural / complications*
Magnetic Resonance Imaging
Recovery of Function
Spinal Cord / blood supply*,  pathology*
Thrombosis / etiology*,  pathology*
Vertebral Artery / abnormalities*

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