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Microneurosurgery for Spinal Dural Arteriovenous Fistula- Operative Video
Background and Introduction: Spinal dural arteriovenous fistula (SDAVF) is a rare but curable condition. Microsurgery is a highly effective and readily affordable treatment modality. Objective: We present a surgical video of SDAVF to demonstrate the operative nuances involved. Surgical Technique: A...
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Published in: | Neurology India 2022-01, Vol.70 (1), p.54-56 |
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Main Authors: | , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Background and Introduction: Spinal dural arteriovenous fistula (SDAVF) is a rare but curable condition. Microsurgery is a highly effective and readily affordable treatment modality.
Objective: We present a surgical video of SDAVF to demonstrate the operative nuances involved.
Surgical Technique: A 53-year-old wheelchair-bound man with spastic paraparesis for 1.5 years was found to have a SDAVF at L1/2 level with a single fistula point. During surgery, a L1-L2 laminectomy and durotomy revealed a dilated vein accompanying the nerve root exiting L1/2 foramen that showed early filling on indocyanine green (ICG) video angiography. This vein was occluded, and a segment of this vein was removed during surgery, which led to resumption of normal spinal cord perfusion.
Results: The patient showed gradual recovery of lower limb motor power and improved to assisted ambulation after 3 months.
Conclusions: Surgery is a simple, effective, and cost-effective treatment option in SDAVF. |
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ISSN: | 0028-3886 1998-4022 |
DOI: | 10.4103/0028-3886.338640 |