Perimedullary arteriovenous malformations: angiostructure, surgical treatment

Authors

  • Yu. P. Zozulya Romodanov Neurosurgery Institute, Kiev, Ukraine
  • E. I. Slynko Romodanov Neurosurgery Institute, Kiev, Ukraine
  • O. A. Tsymeyko Romodanov Neurosurgery Institute, Kiev, Ukraine
  • A. G. Lugovsky Romodanov Neurosurgery Institute, Kiev, Ukraine

Keywords:

артеріовенозна фістула, спинний мозок.

Abstract

The structural, radiologic features of perimedullary arteriovenous malformations in 21 consecutive cases were presented and to evaluate the results of surgical and endovascular treatment the current study was undertaking. Perimedullary arteriovenous malformations was divided for 5 angiostructural types: I — high vertebral artery arteriovenous shunts, are draining perimedullary and paravertebral (AVF); II — low vertebral artery arteriovenous shunts, are draining perimedullary and paravertabral (AVF); III — intradural perimedullary direct arteriovenous fistulas in thoracic region (AVF); IV — perimedullary direct arteriovenous fistulas in the region of spinal cord conus (AVF); V — perimedullary arteriovenous malformations (AVM). Their angioarchitecture can only be assessed by selective spinal angiography. The patient were treated by endovasal, surgical or combiner occlusion\resection. The one patients with high vertebral artery arteriovenous shunts was died. In 6 patients was observed prominent regress of neurological signs, in 8 — partial regress, 5 remain unchanged. In one patient the neurological signs increase.

References

1. Щеглов В.И., Ткач А.И. Внутрисосудистое выключение АВА шейного отдела спинного мозга // Нейрохирургия. — 1983. — Вып. 16. — С.90—97.

2. Barrow D.L., Colohan A.R., Dawson R. Intradural perimedullary arteriovenous fistulas (type IV spinal cord arteriovenous malformations).// J. Neurosurg. — 1994. — V.81, N 2. — P. 221 — 229.

3. Cawley C.M., Barrow D.L. Intradural perimedullary spinal cord arteriovenous fistulas // Spinal Vascular Malformations / Ed. D.L.Barrow, I.A. Awad — Illinois: The American Association of Neurological Surgeons. Park Ridge, 1999. — P. 147—160.

4. Hori Y., Goto K., Ogata N., Uda K. Diagnosis and endovascular treatment of vertebral arteriovenous fistulas in neurofibromatosis type interventional // Neuroradiology. — 2000. — V. 6. — P. 239—250.

5. Ikezaki K., Miyoshi K., Muratani H. et al. Spinal intradural perimedullary arteriovenous fistula with varix in infant.// J. Clin. Neurosci. — 2000. — Suppl 1. — P. 50—53.

6. Khoo L.T., Teitelbaum G.P., Stanley P. et al. Familial occurrence of an arteriovenous fistula with a giant perimedullary pseudoaneurysm of the thoracic spinal cord in 2 young siblings // Pediat. Neurosurg. — 1998. — V.28, N 6. — P. 286 — 292.

7. Miyamoto S., Hashimoto N., Nagata I., Kikuchi H. Surgical treatment of spinal perimedullary AVF/AVM // No Shinkei Geka. — 2000. — V.28, N 3. — P. 213—217.

8. Mounrier K.L., Gobin Y.P., George B. Intradural perimedullary arteriovenous fistulae: results of surgical and endovascular treatment in a series 35 cases // Neurosurgery. — 1993. — V. 32. — P. 885—891.

9. Nagashima C., Miyoshi A., Nagashima R. Spinal giant intradural perimedullary arteriovenous fistula: clinical and neuroradiological study in one case with review of literature // Surg. Neurol. — 1996. — V.45, N 6. — P.524 — 532.

10. Niimi Y., Ito U., Tone O. et al. Multiple spinal perimedullary arteriovenous fistulae associated with the Parkes-Weber syndrome. A Case Report // Intervent. Neuroradiol. — 1998. — N 4. — P.151 — 157.

11. Ricolfi F., Gobin P. Y., Aymard A. Giant perimedullary arteriovenous fistulas of the spine: clinical and radiologic features and endovascular treatment // Amer. J. Neuroradiol. — 1997 — V.18, N 4. — P.677 — 687.

12. Yoshida S., Nakazawa K., Oda Y. Spontaneous vertebral arteriovenous fistula-case report // Neurol. Med. Chir. (Tokyo). — 2000. — V.40, N 4. — P. 211—15.

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How to Cite

Zozulya, Y. P., Slynko, E. I., Tsymeyko, O. A., & Lugovsky, A. G. Perimedullary arteriovenous malformations: angiostructure, surgical treatment. Ukrainian Neurosurgical Journal, (2), 29–37. Retrieved from https://theunj.org/article/view/91811

Issue

No. 2 (2002)

Section

Original articles

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Copyright (c) 2002 Yu. P. Zozulya, E. I. Slynko, O. A. Tsymeyko, A. G. Lugovsky

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