Spinal Arteriovenous Malformations – Two Case Reports

Česká verze

Authors: T. Andrašinová ¹; B. Adamová ^1,2; A. Krajina ³; T. Andrašina ⁴
Authors place of work: Neurologická klinika LF MU a FN Brno ¹; CEITEC – Středoevropský technologický institut, MU, Brno ²; Radiologická klinika LFa FN Hradec Králové ³; Radiologická klinika LF MU a FN Brno ⁴
Published in the journal: Cesk Slov Neurol N 2014; 77/110(4): 505-509
Category: Kazuistika

Autoři děkují dr. Georgesu Rodeschovi z Department of Diagnostic and Therapeutic Neuroradiology at Hôpital Foch (Suresnes, Francie) za cenné rady při klasifikaci a léčbě spinálních AV malformací a za pomoc při léčbě pacientky uvedené ve druhé kazuistice.

Summary

Spinal arteriovenous malformations are a group of rare diseases with highly diverse clinical manifestations. The optimal therapeutic practice should always be selected individually and patients should be sent to specialized centres. The objective of this paper is to provide a structured classification of spinal AVMs, their differential diagnosis and therapy, and to present two case reports. The first report is concerned with a case of a 27-year-old man who developed severe pain in the lumbar spine with predominantly meningeal symptomatology. An AVM fed by a hypertrophic radiculopial artery was found on the thoracic spine (Th11/12) MR. A specialized centre performed successful embolization of an arteriovenous shunt. The second report presents a case of a 41-year-old woman, who felt sudden sharp pain in the neck while skiing. Neurologically, she developed an incomplete spinal cord lesion with quadriparesis with left-sided accentuation of severe intensity and sensation threshold at C1. The MR and MRAG of the cervical spinal cord and the following DSA of vertebral artery detected AVM fed by the left posterior spinal artery. Elective endovascular embolization was indicated and the patient was treated at a specialized institute in France.

Key words:
spinal vascular malformation – arteriovenous malformation – spinal subarachnoid hemorrhage

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