scholarly journals Clipping of spinal arteriovenous fistula of the filum terminale under intraoperative angiography guidance

2019 ◽  
Vol 52 (4) ◽  
pp. 151 ◽  
Author(s):  
Hsin-Yao Lin ◽  
Yun-Ju Lee ◽  
Kai-Chun Lin ◽  
Cheng-Chia Tsai
2020 ◽  
pp. 159101992096836
Author(s):  
Bikei Ryu ◽  
Shinsuke Sato ◽  
Tatsuki Mochizuki ◽  
Yasunari Niimi

A filum terminale arteriovenous fistula (FTAVF) is an extremely rare spinal arteriovenous fistula (AVF) and typically presents with myelopathy and conus medullaris syndrome caused by venous congestion in the spinal cord. Most reported FTAVFs are intradural pial AVFs with perimedullary drainage in the filum terminale interna. However, there are no reports of AVFs in the filum terminale externa (FTE). We describe a case involving a 68-year-old man with an AVF in the FTE who presented with progressive myelopathy and underwent successful endovascular treatment. We identified the specific shunt point by fusing postoperative computed tomography and magnetic resonance images. The features of the extradural sac AVF developed in the FTE may mimic those of a dural AVF with dural supply to the FTE covered by the dural component, unlike typical FTAVFs where the shunt develops at the pia mater. This case makes a significant contribution to the field by increasing the understanding of the clinical characteristics of an AVF that develops in the FTE and its angioarchitecture.


2020 ◽  
Vol 140 ◽  
pp. 37-45
Author(s):  
Prasert Iampreechakul ◽  
Teera Tangviriyapaiboon ◽  
Anusak Liengudom ◽  
Punjama Lertbutsayanukul ◽  
Samasuk Thammachantha ◽  
...  

2007 ◽  
Vol 20 (6) ◽  
pp. 442-448 ◽  
Author(s):  
Yingpeng Xia ◽  
Ken Ishii ◽  
Masaya Nakamura ◽  
Satoshi Onozuka ◽  
Ryo Ueda ◽  
...  

2021 ◽  
Vol 12 ◽  
pp. 103
Author(s):  
Kiyoharu Shimizu ◽  
Takafumi Mitsuhara ◽  
Masaaki Takeda ◽  
Satoshi Yamaguchi

Background: Filum terminale arteriovenous fistulas (FTAVFs) are rare and their pathogenesis remains unknown. The authors report two cases of FTAVF that arose in the lipoma of the filum terminale. Case Description: The two patients were 72 and 76 years of age, and both presented with a progressive paraparesis. The first patient had an arteriovenous fistula (AVF) located at L5 that was supplied by the anterior spinal artery originating from the left T10 intercostal artery. The second patient’s AVF at L3-4 was fed by the anterior spinal artery originating from the left T8 intercostal artery. Both patients underwent partial resection of the filum terminale at the location of the shunts. The pathological examinations revealed that both the AVFs were embedded in the adipose tissue of the filum terminale, revealing the fatty fila that were not visible in preoperative magnetic resonance images. Conclusion: Two cases of FTAVF were successfully treated by obliterating the fistulas through partial resection of the affected fatty filum terminale. The literature review revealed 13 cases of FTAVF concomitant with the lipomas of the filum terminale. Resection and histological evaluation of the filum terminale should be performed to treat and elucidate the pathogenesis of FTAVF.


2011 ◽  
Vol 54 (5) ◽  
pp. 517-519 ◽  
Author(s):  
Stephan Macht ◽  
René Chapot ◽  
Frank Bieniek ◽  
Daniel Hänggi ◽  
Bernd Turowski

2020 ◽  
Vol 138 ◽  
pp. 231-241
Author(s):  
Prasert Iampreechakul ◽  
Wuttipong Tirakotai ◽  
Korrapakc Wangtanaphat ◽  
Punjama Lertbutsayanukul ◽  
Somkiet Siriwimonmas

2019 ◽  
Vol 46 (Suppl_2) ◽  
pp. V8
Author(s):  
Daniel M. S. Raper ◽  
Nasser Mohammed ◽  
M. Yashar S. Kalani ◽  
Min S. Park

The preferred method for treating complex dural arteriovenous fistulae of the transverse and sigmoid sinuses is via endovascular, transarterial embolization using liquid embolysate. However, this treatment approach mandates access to distal dural feeding arteries that can be technically challenging by standard endovascular approaches. This video describes a left temporal craniotomy for direct stick microcatheterization of an endovascularly inaccessible distal posterior division of the middle meningeal artery for embolization of a complex left temporal dural arteriovenous fistula. The case was performed in the hybrid operative suite with biplane intraoperative angiography. Technical considerations, operative nuances, and outcomes are reviewed.The video can be found here: https://youtu.be/Dnd4yHgaKcQ.


2009 ◽  
Vol 44 (2) ◽  
pp. 261
Author(s):  
Seung Rim Park ◽  
Kyu Jung Cho ◽  
Young Hyun Yun ◽  
Moon Lee ◽  
Seok Bong Kang ◽  
...  

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