J Korean Neurosurg Soc.
1989 Jan;18(1):173-179.
Successful Treatment of a Spinal Intradural Arteriovenous Fistula
- Affiliations
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- 1Department of Neurosurgery, Kangnam St. Mary's Hospital, Catholic University Medical College, Seoul, Korea.
Abstract
- An 18 year-old male patient presenting with progressive paraparesis was found to have a spinal arteriovenous fistula at the thoracolumbar vertebral level. The lesion consisted of a direct communication of the anterior spinal artery with a distended arterialized vein that drained mostly superiorly to the thoracic cord and simulated a long dorsal lesion. The patient was successfully treated by surgical excision of feeding artery and draining vein including fistula at the L1-3 vertebral level. Ischemic damage of the spinal cord due to venous hypertension is suggested as the cause of the clinical manifestation.
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