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Combined Spinal Arteriovenous Malformation and Spinal Dysraphism.
World Neurosurg. 2018 Feb; 110:407-413.WN

Abstract

BACKGROUND

Spinal vascular malformations as a group are rare, and coexistence of a spinal arteriovenous malformation (AVM) in or around the spinal dysraphism is extremely rare. We report 2 cases of combined spinal dysraphism and vascular malformations of the spinal cord.

CASE DESCRIPTION

The first case was an AVM located in a filum terminale lipoma fed by the artery of the filum terminale. This case was managed by multiple endovascular embolizations followed by surgery. The second case was an AVM located in a lumbar lipomyelocele managed by endovascular embolization. These cases illustrate the imaging findings of a rare entity and present the diagnostic and therapeutic challenges.

CONCLUSIONS

Endovascular embolization combined with surgical resection is the most commonly used treatment for spinal dysraphism with spinal cord AVM. Careful analysis of spinal angiography is necessary owing to the distorted vascular and surgical anatomy of the region affected by spinal dysraphism.

Authors+Show Affiliations

Division of Neuroradiology, Department of Radiology, Istanbul University, Istanbul, Turkey.Division of Neuroradiology, Department of Radiology, Istanbul University, Istanbul, Turkey. Electronic address: gskandemirli@yahoo.com.Division of Neuroradiology, Department of Radiology, Istanbul University, Istanbul, Turkey.Division of Neuroradiology, Department of Radiology, Istanbul University, Istanbul, Turkey.Department of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.Department of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

29223517

Citation

Islak, Civan, et al. "Combined Spinal Arteriovenous Malformation and Spinal Dysraphism." World Neurosurgery, vol. 110, 2018, pp. 407-413.
Islak C, Kandemirli SG, Kizilkilic O, et al. Combined Spinal Arteriovenous Malformation and Spinal Dysraphism. World Neurosurg. 2018;110:407-413.
Islak, C., Kandemirli, S. G., Kizilkilic, O., Kocer, N., Tuzgen, S., & Hanci, M. M. (2018). Combined Spinal Arteriovenous Malformation and Spinal Dysraphism. World Neurosurgery, 110, 407-413. https://doi.org/10.1016/j.wneu.2017.11.162
Islak C, et al. Combined Spinal Arteriovenous Malformation and Spinal Dysraphism. World Neurosurg. 2018;110:407-413. PubMed PMID: 29223517.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combined Spinal Arteriovenous Malformation and Spinal Dysraphism. AU - Islak,Civan, AU - Kandemirli,Sedat Giray, AU - Kizilkilic,Osman, AU - Kocer,Naci, AU - Tuzgen,Saffet, AU - Hanci,Mehmet Murat, Y1 - 2017/12/06/ PY - 2017/09/16/received PY - 2017/11/26/revised PY - 2017/11/28/accepted PY - 2017/12/11/pubmed PY - 2018/5/15/medline PY - 2017/12/11/entrez KW - Embolization KW - Spinal arteriovenous malformation KW - Spinal dysraphism SP - 407 EP - 413 JF - World neurosurgery JO - World Neurosurg VL - 110 N2 - BACKGROUND: Spinal vascular malformations as a group are rare, and coexistence of a spinal arteriovenous malformation (AVM) in or around the spinal dysraphism is extremely rare. We report 2 cases of combined spinal dysraphism and vascular malformations of the spinal cord. CASE DESCRIPTION: The first case was an AVM located in a filum terminale lipoma fed by the artery of the filum terminale. This case was managed by multiple endovascular embolizations followed by surgery. The second case was an AVM located in a lumbar lipomyelocele managed by endovascular embolization. These cases illustrate the imaging findings of a rare entity and present the diagnostic and therapeutic challenges. CONCLUSIONS: Endovascular embolization combined with surgical resection is the most commonly used treatment for spinal dysraphism with spinal cord AVM. Careful analysis of spinal angiography is necessary owing to the distorted vascular and surgical anatomy of the region affected by spinal dysraphism. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/29223517/Combined_Spinal_Arteriovenous_Malformation_and_Spinal_Dysraphism_ DB - PRIME DP - Unbound Medicine ER -