ArticleSurgical neurology international2019
A case involving a giant aberrant craniocervical arteriovenous malformation.
Article in Surgical neurology international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSpinal cord arteriovenous malformations (AVMs) comprise about 3%-4% of primary intraspinal masses and are only rarely found external to the C2-C7 cervical vertebral foramen. CASE DESCRIPTION: A 21-year-old female presented with neck pain and a spastic quadriparesis of 1 year duration. The cervical magnetic resonance imaging and three-dimensional computed tomography angiograms documented an AVM/dural arteriovenous fistula on the right fed by multiple arteries located in the C5-C6 and C6-C7 foramen intervertebralis; utilizing a laminectomy, the large feeding arteries were double-clipped. This allowed for devascularization of the AVM and facilitated resection while preserving the aberrant vertebral artery. The patient was discharged within 1 week and, 2 months later, was able to ambulate to the outpatient clinic.
conclusionDouble clipping of the two main right-sided arterial feeders at the C5-C6 and C6-C7 levels allowed for devascularization and resection of this large cervical AVM while carefully preserving the aberrant vertebral artery.
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