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Minim Invasive Neurosurg 2005; 48(1): 57-62
DOI: 10.1055/s-2004-830184
DOI: 10.1055/s-2004-830184
Original Article
© Georg Thieme Verlag Stuttgart · New York
Successful Surgical Excision of Juvenile-Type Spinal Arteriovenous Malformation in Two Stages Following Partial Embolization
Further Information
Publication History
Publication Date:
04 March 2005 (online)

Abstract
The case of a 24-year-old man with a juvenile-type spinal arteriovenous malformation is reported. Spinal angiography and magnetic resonance image revealed a juvenile (Type III) AVM at the cervical spine. This spinal malformation was successfully resected with a posterior and anterior surgical approach in two stages following partial embolization.
Key words
Embolization - laminoplasty - oblique corpectomy - spinal arteriovenous malformation
References
- 1 Bao Y H, Ling F. Classification and therapeutic modalities of spinal vascular malformations in the 80 patients. Neurosurgery. 1997; 40 75-81
- 2 Barrow D L, Colohan A RT, Dawson R. Intradural perimedullary arteriovenous fistulas (type IV spinal cord arteriovenous malformations). J Neurosurg. 1994; 81 221-229
- 3 Djindjian M, Djindjian R, Rey A. et al . Intradural extramedullary spinal arterio-venous malformations fed by the anterior spinal artery. Surg Neurol. 1977; 8 85-93
- 4 Gueguen B, Merland J J, Riche M C. et al . Vascular malformations of the spinal cord: Intrathecal perimedullary arteriovenous fistulas fed by medullary arteries. Neurology. 1987; 37 969-979
- 5 Halbach V V, Higashida R T, Domd C F. et al . Treatment of giant intradural (perimedullary) arteriovenous fistulas. Neurosurgery. 1993; 33 972-980
- 6 Hida K, Iwasaki Y, Goto K. et al . Results of the surgical treatment of perimedullary arteriovenous fistulas with special reference to embolization. J Neurosurg (Spine 2). 1999; 90 198-205
- 7 Martin N A, Khanna R K, Batzdorf U. Posterolateral cervical or thoracic approach with spinal cord rotation for vascular malformations or tumors of the ventrolateral spinal cord. J Neurosurg. 1995; 83 254-261
- 8 Mourier K L, Gobin Y B, George B. et al . Intradural perimedullary arteriovenous fistulae: results of surgical and endovascular treatment in a series of 35 cases. Neurosurgery. 1993; 32 885-892
- 9 Anson J A, Spetzler R F. Classification of spinal arteriovenous malformations and implications for treatment. Barrow Neurol Inst Q. 1992; 8 2-8
- 10 Spetzler R F, Detwiler P W, Riina H A. et al . Modified classification of spinal cord vascular lesions. J Neurosurg (Spine 2). 2002; 96 145-156
- 11 Bergstrand A, Höök O, Lidvall H. Vascular malformation of the spinal cord. Acta Neurol Scand. 1964; 40 169-183
- 12 Arnoud O, Bille F, Pouget J. et al . Epidural arteriovenous fistula with perimedullary venous drainage: case report. Neuroradiology. 1994; 36 490-491
- 13 Barth M O, Chiras J, Rose M. et al . Results of spinal dural arteriovenous fistulas with perimedullary venous drainage. Neurochirurgie. 1984; 30 381-386
- 14 Spetzler R F, Zabramski J M, Flom R A. et al . Management of juvenile spinal AVM's by embolization and operative excision. Case report. J Neurosurg. 1989; 70 628-632
- 15 Touho H, Karasawa J, Shishido H. et al . Successful excision of a juvenile type spinal arteriovenous malformation following intraoperative embolization. J Neurosurg. 1991; 75 647-651
- 16 Di Chiro G, Doppman J L, Ommaya A K. Selective arteriography of arteriovenous aneurysms of spinal cord. Radiology. 1967; 88 1065-1067
- 17 Di Chiro G, Wener L A. et al . Angiography of spinal cord. A review of contemporary techniques and applications. J Neurosurg. 1973; 39 1-29
- 18 Ommaya A K, Di Chiro G, Doppman J. Ligation of arterial supply in the treatment of spinal cord arteriovenous malformations. J Neurosurg. 1969; 30 679-692
- 19 Djindjian R. Embolization of angiogram of the spinal cord. Surg Neurol. 1975; 4 411-420
- 20 Hida K, Iwasaki Y, Ushikoshi S. et al . Corpectomy: a direct approach to perimedullary arteriovenous fistulas of the anterior cervical spinal cord. J Neurosurg (Spine 2). 2002; 96 157-161
- 21 Iwasaki Y, Koyanagi I, Hida K. et al . Anterior approach to intramedullary hemangioblastoma: case report. Neurosurgery. 1999; 44 655-657
- 22 Ohata K, Takami T, El-Naggar A. et al . Posterior approach for cervical intramedullary arteriovenous malformation with diffuse type nidus. Report of three cases. J Neurosurg (Spine 1). 1999; 91 105-111
- 23 Abe H, Tsuru M, Ito T. et al . Anterior decompression for ossification of the posterior longitudinal ligament of the cervical spine. J Neurosurg. 1981; 55 108-116
- 24 Eleraky M A, Lianos C, Sonntag V H. Cervical corpectomy: report of 185 cases and review of the literature. J Neurosurg (Spine 1). 1999; 90 35-41
- 25 Hakuba A, Komiyama M, Tsujimoto T. et al . Transuncodiscal approach to dumbbell tumors of the cervical spinal canal. J Neurosurg. 1984; 61 1101-1106
- 26 Kojima T, Waga S, Kubo Y. et al . Anterior cervical vertebrectomy and interbody fusion for multilevel spondylosis and ossification of the posterior longitudinal ligament. Neurosurgery. 1989; 24 864-872
- 27 Bucci M N, McGillicuddy J E, Taren J A. et al . Management of anteriorly located C1 - 2 neurofibroma. Surg Neurol. 1990; 33 15-18
- 28 Iwasaki Y, Hida K, Koyanagi I. et al . Anterior approach for dumbbell type cervical neurinoma. Neurol Med Chir (Tokyo). 1999; 39 835-840
- 29 Constantini S, Miller D C, Allen J C. et al . Radical excision of intramedullary spinal cord tumors: surgical morbidity and long term follow-up evaluation in 164 children and young adults. J Neurosurg (Spine 2). 2000; 93 183-193
- 30 Cooper P R, Epstein F. Radical resection of intramedullary spinal cord tumors in adults. Recent experience in 29 patients. J Neurosurg. 1985; 63 492-499
Professor Ahmet Menkü,M. D.
Department of Neurosurgery · Medical School · Erciyes University
38039 Kayseri
Turkey
Phone: +90-352-437-4938 ·
Fax: +90-352-437-2934
Email: menkua@erciyes.edu.tr