Spinal Cord Arteriovenous Fistula Associated with a Giant Venous Pouch in a Three-Year-Old Child

Sb, Gaikwad; Goyal, Mayank; Mv, Padma; Sharma, Asheesh

doi:10.1177/159101999700300307

Cited by 6 publications

(5 citation statements)

References 10 publications

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“…Our cases did not demonstrate such an association. There have been reported only 9 cases of the so-called third type of giant perimedullary pseudoaneurysms with AVF (table 1) and none with a familial basis [3,5,8,13,19,20,22,29,30]. Thus our 2 patients, a brother and sister, represent the first familial incidence of this type of malformation made even more striking by the fact that the two lesions were nearly anatomically indistinguishable.…”

Section: Discussionmentioning

confidence: 59%

“…Of greater rarity are cases of isolated spinal aneurysm without a coexisting AVM. To date, approximately 26 cases have been reported in the literature [3,5,8,[17][18][19][20][21][22]. Upon review, these 26 cases can be further subdivided into two broad groups.…”

Section: Discussionmentioning

confidence: 99%

“…The second group of spinal aneurysms was perimedullary in location and are more accurately classified as AVFs with direct venous drainage [2,15]. These AVFs comprise 8-19% of all spinal vascular malformations [1,3,4]. Originally defined by Djindjian et al [2], AVFs are subpial lesions fed by perimedullary or radiculomedullary arteries that connect prematurely to a fistulous venous network.…”

Section: Discussionmentioning

confidence: 99%

“…In the series of Gueguen et al [8] patients with perimedullary AVFs described a progressive stepwise neurologic deterioration that may stem from direct arterial ischemia, venous hypertension, or mechanical compression of the spinal cord [3,20]. Subarachnoid hemorrhage is generally rare [31].…”

Section: Discussionmentioning

confidence: 99%

“…The classification of these lesions is subject to debate. Whereas isolated aneurysms of the spinal cord have been previously classified as true aneurysms, a more recent examination of the topic suggests that many of these vascular malformations are more correctly classified as intrathecal perimedullary arteriovenous fistula (AVF) with giant venus dilatation [1][2][3][4][5][6]. This report appears to be the first to describe very similar AVFs with giant venous dilatation in the thoracic spinal cords in 2 young siblings, a brother and sister.…”

Section: Introductionmentioning

confidence: 99%

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Familial Occurrence of an Arteriovenous Fistula with a Giant Perimedullary Pseudoaneurysm of the Thoracic Spinal Cord in 2 Young Siblings

et al. 1998

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Two siblings, a sister at age 3 years and a brother (15 years later) at 4 years of age, both presented with similar clinical pictures consisting of back pain, progressive gait difficulty, lower extremity weakness and hyperreflexia. Imaging studies in both cases showed the presence of a perimedullary mass with expansion of the bony spinal canal at T₁₀–T₁₂. Angiography demonstrated almost identical vascular lesions that in each case was being fed by a single left-sided T₈ fistulous vessel that expanded into a giant perimedullary venous pseudoaneurysm. Each malformation was successfully obliterated using endovascular techniques, balloon occlusion of the feeding vessel in the first case and coil embolization of the pseudoaneurysm in the second. Following treatment the neurologic deficits resolved in both patients. These young siblings represent the first known case of familial occurrence of very similar giant perimedullary venous pseudoaneurysms of the thoracic spinal cord.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Familial Occurrence of an Arteriovenous Fistula with a Giant Perimedullary Pseudoaneurysm of the Thoracic Spinal Cord in 2 Young Siblings

et al. 1998

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Successful embolization of a giant perimedullary arteriovenous fistula of the cervical spine in a 6-year-old child

et al. 2007

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Trifocal Monomyelomeric Spinal Cord Arteriovenous Fistulae in a Seven-Year-Old Boy

Piske¹,

Sampaio

Campos³

et al. 2001

Interv Neuroradiol

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We describe a rare case of multiple arteriovenous fistulae of the spinal cord (SCAVF) in the same myelomer in a five-year-old boy. This case report consists of a trifocal SCAVF at the Th12 myelomeric level without communication between the three different fistulae. Two AVF were located posteriorly, bilateraly, in the spinal cord, fed by left and right posterior radiculopial arteries and one anteriorly in the anterior spinal axis. The venous drainage was independent for each lesion. The patient presents associated lesions characterized by cutaneous stain and inferior limb asymmetry. A metameric distribution is the explanation for the multiplicity of these lesions in a syndromic association related to Cobb syndrome. The patient was treated by transarterial embolization using glue with occlusion of the three different fistulae. The patient achieved a good improvement in neurological status.

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Spinal Cord Arteriovenous Fistula Associated with a Giant Venous Pouch in a Three-Year-Old Child

Abstract: An unusual case of direct spinal cord arteriovenous fistula (SCAVF) associated with a large venous pouch in a three-year-old child is presented. Features of this rare vascular lesion on MRI and selective angiography are described.

Cited by 6 publications

References 10 publications

Familial Occurrence of an Arteriovenous Fistula with a Giant Perimedullary Pseudoaneurysm of the Thoracic Spinal Cord in 2 Young Siblings

Familial Occurrence of an Arteriovenous Fistula with a Giant Perimedullary Pseudoaneurysm of the Thoracic Spinal Cord in 2 Young Siblings

Successful embolization of a giant perimedullary arteriovenous fistula of the cervical spine in a 6-year-old child

Trifocal Monomyelomeric Spinal Cord Arteriovenous Fistulae in a Seven-Year-Old Boy

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