• J Neurosurg Spine · Dec 2010

    Case Reports

    Successful endovascular and surgical treatment of spinal extradural metameric arteriovenous malformation. Case report.

    • Jacob M Fairhall, Rajesh Reddy, William Sears, Jason D Wenderoth, and Marcus A Stoodley.
    • Department of Neurosurgery, Prince of Wales Hospital, Sydney, Australia.
    • J Neurosurg Spine. 2010 Dec 1; 13 (6): 784-8.

    AbstractA report of successful combined endovascular and surgical management of an unusual case of metameric (juvenile) spinal arteriovenous malformation (AVM) is presented. The malformation had extradural and paraspinal components, but no intradural elements. It had caused rapid neurological deterioration to near-complete paraplegia prior to treatment (American Spinal Injury Association [ASIA] Grade C). A combination of endovascular occlusion of major feeding vessels and excision of the malformation resulted in a complete neurological recovery (ASIA Grade E). The authors conclude that selected metameric AVMs can be successfully treated with multimodal therapy. This case further illustrates the fact that not all spinal vascular malformations are easily categorized.

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