How I do it: angiography-assisted full endoscopic treatment of spinal dural arteriovenous fistula

Background Spinal dural arteriovenous fistula (sDAVF) is a rare vascular malformation that leads to serious neurological symptoms. We treat a 52-year-old man with sDAVF in the thoracic segment exhibiting uncoordinated gait. Method Thoracic MRI of the lesion indicated myelomalacia and dilated blood v...

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Bibliographic Details
Published in:Acta neurochirurgica 2024-02, Vol.166 (1), p.111-111, Article 111
Main Authors: Lee, Yao-Lin, Ko, Ching-Chung, Chen, Chien-Min, Liao, Jen-Chieh
Format: Article
Language:English
Subjects:
Angiography
Arteries
Back surgery
Blood vessels
Central Nervous System Vascular Malformations - diagnostic imaging
Central Nervous System Vascular Malformations - surgery
Endoscopy
Fistula
Fistulae
How I Do it
Humans
Interventional Radiology
Male
Medical imaging
Medicine
Medicine & Public Health
Middle Aged
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Spinal Cord Diseases
Surgical Orthopedics
Thorax
Vascular Neurosurgery – Arteriovenous malformation
Veins & arteries
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Summary:Background Spinal dural arteriovenous fistula (sDAVF) is a rare vascular malformation that leads to serious neurological symptoms. We treat a 52-year-old man with sDAVF in the thoracic segment exhibiting uncoordinated gait. Method Thoracic MRI of the lesion indicated myelomalacia and dilated blood vessels, while DSA revealed the right T6 radicular artery as the feeding arteriole. A full endoscopic obliteration of the lesion was performed under angiography guidance in a hybrid operation room. Conclusion The case underscores the importance of a multidisciplinary and individualized approach to successfully manage sDAVF using a fully endoscopic approach.
ISSN:0942-0940
0001-6268
0942-0940
DOI:10.1007/s00701-024-05997-0