Tags

Type your tag names separated by a space and hit enter

Type IV spinal arteriovenous malformation in association with familial pulmonary vascular malformations: case report.
Neurosurgery. 2000 May; 46(5):1240-4; discussion 1244-5.N

Abstract

OBJECTIVE AND IMPORTANCE

Type IVc arteriovenous malformations (AVMs) of the spinal cord consist of multiple high-flow feeding vessels, and they often present a challenging management situation. Their location is intradural and extramedullary, and they are rare malformations that are difficult to treat owing to the risk of thrombosis of the anterior spinal artery. The authors report a case of Type IVc spinal AVM in a patient with a family history of three siblings with pulmonary AVMs. Spinal AVMs have been reported to be associated with inherited syndromes such as familial cutaneous hemangiomas and Kartagener's syndrome, but an association with pulmonary AVMs has not previously been described.

CLINICAL PRESENTATION

A 27-year-old man presented with sudden onset of occipital headache with cervical radiation while weightlifting. Results of computed tomography of the brain were normal, but lumbar puncture revealed a subarachnoid hemorrhage. The patient had a 1-year history of a neurogenic bladder and exhibited marked left calf muscle wasting.

INTERVENTION

The patient underwent spinal magnetic resonance imaging, which revealed the AVM in the conus region. Selective spinal angiography was performed for diagnostic purposes. A laminectomy was performed, and the vessels feeding the AVM were clipped, as was the fistula.

CONCLUSION

The patient remained neurologically stable, and angiography confirmed obliteration of the AVM. This is the first case report of a patient with a spinal AVM who had multiple siblings with pulmonary malformations or AVMs.

Authors+Show Affiliations

Rosenow J
Department of Neurosurgery, New York Medical College, Valhalla 10595, USA.
Rawanduzy A
No affiliation info available
Weitzner I
No affiliation info available
Couldwell WT
No affiliation info available

MeSH

AdultAngiographyArteriovenous MalformationsHumansLaminectomyLungMagnetic Resonance ImagingMalePostoperative ComplicationsSpinal CordSubarachnoid Hemorrhage

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

10807258

Citation

Rosenow, J, et al. "Type IV Spinal Arteriovenous Malformation in Association With Familial Pulmonary Vascular Malformations: Case Report." Neurosurgery, vol. 46, no. 5, 2000, pp. 1240-4; discussion 1244-5.
Rosenow J, Rawanduzy A, Weitzner I, et al. Type IV spinal arteriovenous malformation in association with familial pulmonary vascular malformations: case report. Neurosurgery. 2000;46(5):1240-4; discussion 1244-5.
Rosenow, J., Rawanduzy, A., Weitzner, I., & Couldwell, W. T. (2000). Type IV spinal arteriovenous malformation in association with familial pulmonary vascular malformations: case report. Neurosurgery, 46(5), 1240-4; discussion 1244-5.
Rosenow J, et al. Type IV Spinal Arteriovenous Malformation in Association With Familial Pulmonary Vascular Malformations: Case Report. Neurosurgery. 2000;46(5):1240-4; discussion 1244-5. PubMed PMID: 10807258.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Type IV spinal arteriovenous malformation in association with familial pulmonary vascular malformations: case report. AU - Rosenow,J, AU - Rawanduzy,A, AU - Weitzner,I,Jr AU - Couldwell,W T, PY - 2000/5/12/pubmed PY - 2000/8/1/medline PY - 2000/5/12/entrez SP - 1240-4; discussion 1244-5 JF - Neurosurgery JO - Neurosurgery VL - 46 IS - 5 N2 - OBJECTIVE AND IMPORTANCE: Type IVc arteriovenous malformations (AVMs) of the spinal cord consist of multiple high-flow feeding vessels, and they often present a challenging management situation. Their location is intradural and extramedullary, and they are rare malformations that are difficult to treat owing to the risk of thrombosis of the anterior spinal artery. The authors report a case of Type IVc spinal AVM in a patient with a family history of three siblings with pulmonary AVMs. Spinal AVMs have been reported to be associated with inherited syndromes such as familial cutaneous hemangiomas and Kartagener's syndrome, but an association with pulmonary AVMs has not previously been described. CLINICAL PRESENTATION: A 27-year-old man presented with sudden onset of occipital headache with cervical radiation while weightlifting. Results of computed tomography of the brain were normal, but lumbar puncture revealed a subarachnoid hemorrhage. The patient had a 1-year history of a neurogenic bladder and exhibited marked left calf muscle wasting. INTERVENTION: The patient underwent spinal magnetic resonance imaging, which revealed the AVM in the conus region. Selective spinal angiography was performed for diagnostic purposes. A laminectomy was performed, and the vessels feeding the AVM were clipped, as was the fistula. CONCLUSION: The patient remained neurologically stable, and angiography confirmed obliteration of the AVM. This is the first case report of a patient with a spinal AVM who had multiple siblings with pulmonary malformations or AVMs. SN - 0148-396X UR - https://www.unboundmedicine.com/medline/citation/10807258/Type_IV_spinal_arteriovenous_malformation_in_association_with_familial_pulmonary_vascular_malformations:_case_report_ DB - PRIME DP - Unbound Medicine ER -