J Korean Neurosurg Soc.  2016 Jul;59(4):420-424. 10.3340/jkns.2016.59.4.420.

Novalis Stereotactic Radiosurgery for Spinal Dural Arteriovenous Fistula

• Sung KS
• Song YJ
• Kim KU

• KMID: 2315983
• DOI: http://doi.org/10.3340/jkns.2016.59.4.420

Abstract

The spinal dural arteriovenous fistula (SDAVF) is rare, presenting with progressive, insidious symptoms, and inducing spinal cord ischemia and myelopathy, resulting in severe neurological deficits. If physicians have accurate and enough information about vascular anatomy and hemodynamics, they achieve the good results though the surgery or endovascular embolization. However, when selective spinal angiography is unsuccessful due to neurological deficits, surgery and endovascular embolization might be failed because of inadequate information. We describe a patient with a history of vasospasm during spinal angiography, who was successfully treated by spinal stereotactic radiosurgery using Novalis system.

Keyword

Spinal vascular disease; Dural arteriovenous fistula; Stereotactic radiosurgery

MeSH Terms

Angiography
Central Nervous System Vascular Malformations*
Hemodynamics
Humans
Radiosurgery*
Spinal Cord Diseases
Spinal Cord Ischemia