Endovascular treatment of a spinal dural arteriovenous malformation (DAVF).
Publication/Presentation Date
7-1-2014
Abstract
We present a case of a patient with rapid loss of motor strength in his lower extremities. He became bedridden with bowel and bladder incontinence, and developed saddle anesthesia. MRI of the lumbar spine showed edema in the conus medullaris and multiple flow voids within the spinal canal. A spinal angiogram showed a dorsal Type I spinal AVF. This was treated successfully with Onyx 18 (eV3, Irvine, CA). The patient showed rapid post-procedure improvement, and at discharge from the hospital to a rehabilitation center he was fully ambulatory. At 3-year follow-up, the patient was found to ambulate without difficulty. He also had improved saddle anesthesia, and he was voiding spontaneously. There was no evidence of flow voids on repeat MRI of the lumbar spine. The video can be found here: http://youtu.be/SDYNIGNQIW8 .
Volume
37
Issue
1 Suppl
First Page
1
Last Page
1
ISSN
1092-0684
Published In/Presented At
Agarwal, V., Zomorodi, A., Jabbour, P., Chalouhi, N., Tjoumakaris, S., Babu, R., Back, A., & Gonzalez, L. F. (2014). Endovascular treatment of a spinal dural arteriovenous malformation (DAVF). Neurosurgical focus, 37(1 Suppl), 1. https://doi.org/10.3171/2014.V2.FOCUS14180
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
24983729
Department(s)
Administration and Leadership
Document Type
Article