Combined spinal intramedullary arteriovenous malformation and lipomyelomeningocele

Combined spinal arteriovenous malformation and lipomyelomeningocele are extremely rare. We present a rare combined case of a lipomyelomeningocele with an intramedullary arteriovenous malformation (AVM) occurred at the L3-L4 level in a 30-year-old man who suffered from low back pain radiating to the...

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Bibliographic Details
Published in:Neuroradiology 2005-10, Vol.47 (10), p.774-779
Main Authors: WEON, Y. C, CHUNG, J. I, ROH, H. G, EOH, W, BYUN, H. S
Format: Article
Language:English
Subjects:
Adult
Angiography
Arteriovenous Malformations - complications
Arteriovenous Malformations - diagnosis
Arteriovenous Malformations - therapy
Biological and medical sciences
Case studies
Circulatory system
Contrast Media
Diagnosis, Differential
Embolization, Therapeutic
Humans
Investigative techniques, diagnostic techniques (general aspects)
Lipoma - complications
Lipoma - diagnosis
Lipoma - therapy
Magnetic Resonance Imaging
Male
Medical sciences
Meningomyelocele - complications
Meningomyelocele - diagnosis
Meningomyelocele - therapy
Nervous system
Neurology
NMR
Nuclear magnetic resonance
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Spinal Cord - blood supply
Spinal Cord Neoplasms - complications
Spinal Cord Neoplasms - diagnosis
Spinal Cord Neoplasms - therapy
Spine
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Summary:Combined spinal arteriovenous malformation and lipomyelomeningocele are extremely rare. We present a rare combined case of a lipomyelomeningocele with an intramedullary arteriovenous malformation (AVM) occurred at the L3-L4 level in a 30-year-old man who suffered from low back pain radiating to the lower extremities, dysuria, and frequency for 5 years. The MR studies showed an intradural mass with high-signal intensity on both T1-weighted and T2-weighted images, intermingled with multiple signal-void structures. The mass extended extradurally toward a subcutaneously forming fatty mass on the patient's back. Spinal angiography showed an AVM supplied by the radiculopial branches of the lumbar arteries and drained by tortuous, dilated, perimedullary veins. Endovascular embolization and surgical resection were performed.
ISSN:0028-3940
1432-1920
DOI:10.1007/s00234-005-1336-1