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Extraspinal Type I Dural Arteriovenous Fistula with a Lumbosacral Lipomyelomeningocele: A Case Report and Review of the Literature
Joint Authors
Krisht, Khaled M.
Karsy, Michael
Dailey, Andrew T.
Ray, Wilson Z.
Source
Case Reports in Neurological Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-08
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Seven cases of adult spinal vascular malformations presenting in conjunction with spinal dysraphism have been reported in the literature.
Two of these involved male patients with a combined dural arteriovenous fistula (DAVF) and lipomyelomeningocele.
The authors present the third case of a patient with an extraspinal DAVF and associated lipomyelomeningocele in a lumbosacral location.
A 58-year-old woman with rapid decline in bilateral motor function 10 years after a prior L4-5 laminectomy and cord detethering for diagnosed tethered cord underwent magnetic resonance imaging showing evidence of persistent cord tethering and a lipomyelomeningocele.
Diagnostic spinal angiogram showed a DAVF with arterial feeders from bilateral sacral and the right internal iliac arteries.
The patient underwent Onyx embolization of both feeding right and left lateral sacral arteries.
At 6-month follow-up, MRI revealed decreased flow voids and new collateralized supply to the DAVF.
The patient underwent successful lipomyelomeningocele exploration, resection, AV fistula ligation, and cord detethering.
This report discusses management of this patient as well as the importance of endovascular embolization followed by microsurgery for the treatment of cases with combined vascular and dysraphic anomalies.
American Psychological Association (APA)
Krisht, Khaled M.& Karsy, Michael& Ray, Wilson Z.& Dailey, Andrew T.. 2015. Extraspinal Type I Dural Arteriovenous Fistula with a Lumbosacral Lipomyelomeningocele: A Case Report and Review of the Literature. Case Reports in Neurological Medicine،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059041
Modern Language Association (MLA)
Krisht, Khaled M.…[et al.]. Extraspinal Type I Dural Arteriovenous Fistula with a Lumbosacral Lipomyelomeningocele: A Case Report and Review of the Literature. Case Reports in Neurological Medicine No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059041
American Medical Association (AMA)
Krisht, Khaled M.& Karsy, Michael& Ray, Wilson Z.& Dailey, Andrew T.. Extraspinal Type I Dural Arteriovenous Fistula with a Lumbosacral Lipomyelomeningocele: A Case Report and Review of the Literature. Case Reports in Neurological Medicine. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059041
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059041