scholarly journals Ruptured Spinal Arteriovenous Malformation: A Rare Cause of Paraplegia in Pregnancy

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Clare E. Thiele
Keyword(s):  
Arteriovenous Malformation ◽  
Lower Limb ◽  
Case Reports ◽  
Spinal Arteriovenous Malformation ◽  
Venous Compression ◽  
Acute Rupture ◽  
Future Practice ◽  
Spinal Avm ◽  
In Pregnancy ◽  
New Onset

Background. Ruptured spinal arteriovenous malformation (AVM) is a rare cause of paraplegia in pregnancy, with only a few case reports describing complications from spinal AVMs during pregnancy in the literature. Case. A 32-year-old woman presented at 37 weeks gestation with back pain and rapidly progressive lower limb neurological symptoms. MRI showed a previously undiagnosed spinal AVM at T8. A healthy girl was delivered by caesarean under general anaesthesia to facilitate further investigation. After spinal angiography, it was concluded the most likely aetiology was acute rupture of an intra- and perimedullary AVM with associated haemorrhage at T8 secondary to venous compression from the enlarged uterus at L5 causing high pressure within the AVM and subsequent rupture. The neurosurgical and interventional radiology teams felt the lesion was not amenable to surgical or endovascular intervention. The patient remained paraplegic with no sign of neurological recovery six months after delivery. Conclusion. While new onset paraplegia during pregnancy secondary to ruptured spinal AVM is very rare, it is important to discuss these cases to inform future practice. In contrast to previous case reports, our patient did not spontaneously recover after delivery and was not amenable to surgical or endovascular treatment.

scholarly journals Perimedullary Spinal Arteriovenous Malformation in an Elderly Female: A Case Report

2021 ◽  
Author(s):  
Madan Basnet ◽  
Suman Gaire ◽  
Abisha Phudong ◽  
Kamal Gautam ◽  
Prarthana Subedhi ◽  
...  
Keyword(s):  
Case Report ◽  
Arteriovenous Malformation ◽  
Arteriovenous Malformations ◽  
Rare Type ◽  
Motor Weakness ◽  
Spinal Arteriovenous Malformation ◽  
Elderly Female ◽  
Spinal Arteriovenous Malformations ◽  
Spinal Avm

Perimedullary spinal AVM is a rare type of spinal arteriovenous malformations. We present a case of 70 yrs female who presented with motor weakness in her bilateral limbs. Initial MRI was misinterpreted as ependymal myxoma; however, histopathology revealed spinal AVM. MRA or DSA should be conducted if AVM is suspected.

scholarly journals Spinal Arteriovenous Malformation Associated with a Radicular Arteriovenous Fistula Suggested a Metameric Disease

2003 ◽  
Vol 9 (1) ◽  
pp. 75-78 ◽  
Author(s):  
A. Nishio ◽  
K. Ohata ◽  
T. Takami ◽  
T. Gotoh ◽  
N. Tsuyuguchi ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Arteriovenous Malformation ◽  
Arteriovenous Fistula ◽  
Anterior Spinal Artery ◽  
Low Back ◽  
Spinal Angiography ◽  
Spinal Arteriovenous Malformation ◽  
Four Levels ◽  
Spinal Avm

A spinal intramedullary arteriovenous malformation (AVM) associated with a radicular arteriovenous fistula (AVF) is reported. The patient had mild myelopathy and low back pain. Spinal angiography revealed the AVM fed by the anterior spinal artery via left T10, T11 and right L1 radiculomedullary arteries and the radiculopial arteries of left L1, L2 and right T11, L3 levels and the radicular AVF at the left L4 level. There were three radiculomedullary arteries within four levels in our case. This spinal AVM associated with a radicular AVF is considered a genetic nonhereditary lesion with metameric link.

Resolution of lower limb neurological deficit with penile papaverine in spinal arteriovenous malformation

The Lancet ◽  
1993 ◽  
Vol 341 (8843) ◽  
pp. 490
Author(s):  
R.D. Rakhit ◽  
R. Beck ◽  
O. Foster ◽  
A.J. Thompson ◽  
B. Kendall
Keyword(s):  
Arteriovenous Malformation ◽  
Neurological Deficit ◽  
Lower Limb ◽  
Spinal Arteriovenous Malformation

Spinal arteriovenous malformation with hypogastric blood supply

1975 ◽  
Vol 42 (4) ◽  
pp. 462-464 ◽  
Author(s):  
C. Craig Heindel ◽  
Gordon S. Dugger ◽  
Faustino C. Guinto
Keyword(s):  
Arteriovenous Malformation ◽  
Blood Supply ◽  
Hypogastric Artery ◽  
Content Type ◽  
Spinal Arteriovenous Malformation ◽  
The Right ◽  
Spinal Avm ◽  
Fine Print

✓ A report of a patient with a spinal arteriovenous malformation (AVM) supplied from the right hypogastric artery is presented to emphasize the importance of thorough angiographic investigation when a spinal AVM is suspected.

A rare intraosseous arteriovenous malformation of the spine

2011 ◽  
Vol 15 (3) ◽  
pp. 336-339 ◽  
Author(s):  
Robert G. Louis ◽  
Chun Po Yen ◽  
Carrie A. Mohila ◽  
James W. Mandell ◽  
Jason Sheehan
Keyword(s):  
Arteriovenous Malformation ◽  
Spinous Process ◽  
Transverse Process ◽  
Cord Compression ◽  
Mass Lesion ◽  
Histopathological Analysis ◽  
Spinal Arteriovenous Malformation ◽  
Vascular Proliferation ◽  
The Right ◽  
Spinal Avm

The authors report the case of a patient with an intraosseous spinal arteriovenous malformation (AVM) presenting as an epidural mass lesion that was causing spinal cord compression. The 59-year-old woman had bilateral numbness, weakness, and hyperreflexia of both legs. Magnetic resonance imaging revealed intermediate T1 signal and hyperintense T2 signal involving the right transverse process, bilateral pedicles, and T-5 spinous process; the lesion's epidural extension was causing severe canal compromise and cord displacement. Coil embolization was performed, and the patient underwent resection, after which preoperative symptoms improved. Histopathological analysis revealed a benign vascular proliferation consistent with an intraosseous spinal AVM. On review of the literature, the authors found this case to be the second intraosseous spinal AVM, and the first in a patient whose clinical presentation was consistent with that of a mass lesion of the bone.

Vascular Orientation by Intra-arterial Dye Injection during Spinal Arteriovenous Malformation Surgery: Technical Note

Neurosurgery ◽  
2001 ◽  
Vol 48 (1) ◽  
pp. 240-242 ◽  
Author(s):  
Satoshi Tani ◽  
Satoshi Ikeuchi ◽  
Yuichi Hata ◽  
Toshiaki Abe
Keyword(s):  
Arteriovenous Malformation ◽  
Dural Arteriovenous Fistula ◽  
Indigo Carmine ◽  
Technical Note ◽  
Neurological Deficits ◽  
Repeat Surgery ◽  
Arteriovenous Fistulae ◽  
Spinal Arteriovenous Malformation ◽  
Vascular Structures ◽  
Spinal Avm

Abstract OBJECTIVE Rich and complicated vascular structures on the spinal cord often interfere with obliteration of a spinal arteriovenous malformation (AVM). Vascular orientation during spinal AVM surgery is essential. The authors recently performed six consecutive spinal AVM surgeries in five patients (two with perimedullary AVMs, and three with dural arteriovenous fistulae) with the aid of intra-arterial injection of dye (indigo carmine). METHODS Two representative cases are described. A microcatheter was placed preoperatively in the artery of interest. Subsequent to the exposure of the vascular complex, a 1-ml injection of indigo carmine (2 mg/ml) clearly demonstrated the feeding arteries and the draining veins around the AVM or dural arteriovenous fistula. RESULTS One patient had repeat surgery because of incomplete obliteration of the AVM owing to migration of the catheter. All patients, except one who had temporary postoperative deterioration and persistent neurological deficits, had good surgical outcomes, however. No apparent side effects caused by the dye were reported. CONCLUSION The assistance system for spinal AVM surgery is easy and safe and can be applied in other surgical institutions.

Spontaneous subarachnoid hemorrhage first from an intracranial and then from a spinal arteriovenous malformation

1977 ◽  
Vol 47 (6) ◽  
pp. 965-968 ◽  
Author(s):  
Dwight Parkinson ◽  
Michael West
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Arteriovenous Malformation ◽  
Arteriovenous Malformations ◽  
Cerebral Arteriovenous Malformation ◽  
Cerebral Arteriovenous Malformations ◽  
Content Type ◽  
Spinal Arteriovenous Malformation ◽  
Spontaneous Subarachnoid Hemorrhage ◽  
Spinal Avm ◽  
Fine Print

✓ A patient presented with spontaneous subarachnoid hemorrhage (SAH) from a cerebral arteriovenous malformation (AVM) which was later totally removed at surgery. The patient presented again with a new SAH from a spinal AVM that was also totally removed at surgery. Coexistence of spinal and cerebral arteriovenous malformations are exceedingly rare and hemorrhage from each is not previously reported. This case emphasizes the importance of investigating the spinal canal in otherwise unexplained spontaneous SAH.

Subdural hematoma from a Type I spinal arteriovenous malformation

1999 ◽  
Vol 90 (2) ◽  
pp. 255-257 ◽  
Author(s):  
Patrick P. Han ◽  
Nicholas Theodore ◽  
Randall W. Porter ◽  
Paul W. Detwiler ◽  
MichaeL T. Lawton ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Subdural Hematoma ◽  
Pathological Process ◽  
Definitive Treatment ◽  
Type I ◽  
Spinal Angiography ◽  
Content Type ◽  
Spinal Arteriovenous Malformation ◽  
Spinal Subdural Hematoma ◽  
Spinal Avm

✓ The authors report a patient in whom a subdural hematoma developed from a Type I spinal arteriovenous malformation (AVM). The patient became symptomatic with back pain, and magnetic resonance imaging revealed a spinal subdural hematoma. Selective spinal angiography, however, failed to demonstrate a pathological process. The patient underwent exploratory laminoplasty that revealed a subdural extraarachnoid hematoma with an underlying Type I spinal AVM, which was surgically obliterated. The patient recovered completely. Subdural hematomas that affect the spine are rare. Although a negative result was obtained using selective spinal angiography, exploratory surgery should be considered for the evacuation of a subdural hematoma and possibly for the definitive treatment of a spinal AVM.

Neurological deterioration in a patient with a spinal arteriovenous malformation following lumbar puncture

1990 ◽  
Vol 72 (4) ◽  
pp. 650-653 ◽  
Author(s):  
Issam A. Awad ◽  
Gene H. Barnett
Keyword(s):  
Arteriovenous Malformation ◽  
Lumbar Puncture ◽  
Surgical Intervention ◽  
Fluid Pressure ◽  
Lower Extremities ◽  
Neurological Deterioration ◽  
Sensory Level ◽  
Content Type ◽  
Spinal Arteriovenous Malformation ◽  
Spinal Avm

✓ The mechanism of nonhemorrhagic neurological deterioration from spinal arteriovenous malformation (AVM) and the role of acute surgical intervention in this setting are not well understood. The case is described of a 65-year-old man who presented with a 2-year history of mild gait spasticity and vague sensory complaints affecting both lower extremities. Following a diagnostic lumbar puncture, these symptoms progressed painlessly over a 4-day period to total motor paraplegia, urinary retention, and hypesthesia in all modalities with a midthoracic sensory level. Magnetic resonance imaging showed a probable spinal AVM but no evidence of hemorrhage or cord compression. Spinal angiography confirmed the diagnosis of spinal AVM fed by radicular branches of left T-7 and T-8 segmental intercostal arteries. Drainage was via long dorsal veins caudally. Emergency laminectomy with intradural exploration was performed. There was no evidence of prior hemorrhage or focal mass effect, although the cerebrospinal fluid pressure was elevated. The dural component of the spinal AVM was excised, and its communications with the spinal cord were disconnected intradurally. Neurological function started improving within 6 hours of the patient awakening from anesthesia. He had achieved antigravity strength in every muscle group of the lower extremities by the time of discharge to a rehabilitation center 10 days after surgery. Three months postoperatively, he was ambulating with a walker and was continent of urine and stool. Possible pathophysiological mechanisms are discussed in light of the favorable response to timely surgical intervention.

Spontaneous occlusion of a spinal arteriovenous malformation: is treatment always necessary?

2010 ◽  
Vol 12 (4) ◽  
pp. 397-401 ◽  
Author(s):  
Pier Paolo Panciani ◽  
Marco Fontanella ◽  
Emanuela Crobeddu ◽  
Bawarjan Schatlo ◽  
Mauro Bergui ◽  
...  
Keyword(s):  
Risk Factors ◽  
Spinal Cord ◽  
Natural History ◽  
Arteriovenous Malformation ◽  
Arteriovenous Malformations ◽  
Genetic Data ◽  
Natural Course ◽  
Spinal Arteriovenous Malformation ◽  
History Of ◽  
Spinal Avm

Knowledge of spinal cord arteriovenous malformations (AVMs) has recently been improved by studies on pathophysiology, neuroimaging, and genetic data. Nevertheless, the natural history of these lesions remains poorly understood. The authors present the case of an angiographic regression of a nidal-type spinal AVM at T-12 to L-1 in a 46-year-old woman with no risk factors. The natural course of untreated lesions is reviewed and discussed. To the best of the authors' knowledge, this is the first study that reports an angiographically proven complete spontaneous occlusion of a spinal AVM.

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