Journal of Pediatric Neuroradiology 2015; 04(02): 029-031
DOI: 10.1055/s-0036-1579684
Case Report
Georg Thieme Verlag KG Stuttgart • New York

Spontaneous Resolution of a High-Flow Congenital Spinal Epidural Arteriovenous Fistula in a Pediatric Patient

Noor Fatima Majeed
1   Division of Interventional Neuroradiology, The Johns Hopkins Hospital, Baltimore, Maryland, United States
,
Philippe Gailloud
1   Division of Interventional Neuroradiology, The Johns Hopkins Hospital, Baltimore, Maryland, United States
› Author Affiliations
Further Information

Publication History

11 June 2015

19 September 2015

Publication Date:
29 February 2016 (online)

Abstract

The spontaneous resolution of a spinal vascular malformation is a rare phenomenon. We report the case of a 19-month-old male infant with a high-flow congenital spinal epidural arteriovenous fistula that completely regressed between the time of diagnostic angiography and planned endovascular treatment. Prior reported instances, potential underlying mechanisms, and implications for management timing and necessity are discussed.

 
  • References

  • 1 Meder JF, Devaux B, Merland JJ, Frédy D. Spontaneous disappearance of a spinal dural arteriovenous fistula. AJNR Am J Neuroradiol 1995; 16 (10) 2058-2062
  • 2 Torok C, Laufer I, Gailloud P. Spontaneous resolution of a thoracic spinal epidural arteriovenous fistula caused by stabbing injury. Spine 2013; 38 (11) E683-E686
  • 3 Aydin K, Sencer S, Sencer A, Terzibaşioglu E, Minareci O. Angiography-induced closure of perimedullary spinal arteriovenous fistula. Br J Radiol 2004; 77 (923) 969-973
  • 4 Gupta V, Rizvi T, Garg A, Gaikwad SB, Mishra NK. Postangiographic thrombosis of a spinal arteriovenous malformation: case report. J Neurosurg Spine 2005; 2 (4) 486-490
  • 5 Panciani PP, Fontanella M, Crobeddu E, Schatlo B, Bergui M, Ducati A. Spontaneous occlusion of a spinal arteriovenous malformation: is treatment always necessary?. J Neurosurg Spine 2010; 12 (4) 397-401
  • 6 Renowden SA, Molyneux AJ. Case report: spontaneous thrombosis of a spinal dural AVM (Foix-Alajouanine syndrome)—magnetic resonance appearance. Clin Radiol 1993; 47 (2) 134-136
  • 7 Chun JY, Gulati M, Halbach V, Lawton MT. Thrombosis of a spinal arteriovenous malformation after hemorrhage: case report. Surg Neurol 2004; 61 (1) 92-94
  • 8 Wirth FPJ, Post KD, Di Chiro G, Doppman JL, Ommaya AK. Foix-Alajouanine disease spontaneous thrombosis of a spinal cord arteriovenous malformation: a case report. Neurology 1970; 20 (11) 1114-1118
  • 9 Kinoshita M, Asai A, Komeda S , et al. Spontaneous regression of a spinal extradural arteriovenous fistula after delivery by cesarean section. Neurol Med Chir (Tokyo) 2009; 49 (7) 313-315
  • 10 Takai K, Usui M. Spontaneous thrombosis of a spinal conus perimedullary arteriovenous fistula. Case report. Neurol Med Chir (Tokyo) 2012; 52 (2) 103-106
  • 11 Bordignon KC, Montú MB, Ramina R, Arruda WO. [Foix-Alajouanine syndrome: case report]. Arq Neuropsiquiatr 2005; 63 (2B): 527-529
  • 12 Merland JJ, Riche MC, Chiras J. Intraspinal extramedullary arteriovenous fistulae draining into the medullary veins. J Neuroradiol 1980; 7 (4) 271-320
  • 13 Arnaud O, Bille F, Pouget J, Serratrice G, Salamon G. Epidural arteriovenous fistula with perimedullary venous drainage: case report. Neuroradiology 1994; 36 (6) 490-491
  • 14 Chuang NA, Shroff MM, Willinsky RA, Drake JM, Dirks PB, Armstrong DC. Slow-flow spinal epidural AVF with venous ectasias: two pediatric case reports. AJNR Am J Neuroradiol 2003; 24 (9) 1901-1905
  • 15 Goyal M, Willinsky R, Montanera W, terBrugge K. Paravertebral arteriovenous malformations with epidural drainage: clinical spectrum, imaging features, and results of treatment. AJNR Am J Neuroradiol 1999; 20 (5) 749-755
  • 16 Cullen S, Krings T, Ozanne A, Alvarez H, Rodesch G, Lasjaunias P. Diagnosis and endovascular treatment of pediatric spinal arteriovenous shunts. Neuroimaging Clin N Am 2007; 17 (2) 207-221
  • 17 Konus OL, Ilgit ET, Ozdemir A, Onal B. Spontaneous thrombosis of a vein of Galen aneurysmal malformation: possible effects of contrast media. Eur Radiol 2000; 10 (9) 1456-1458
  • 18 Nukui H, Miyagi O, Tamada J, Mitsuka S, Kawafuchi J. [Long-term follow-up study by cerebral angiography in cases with arteriovenous malformation of the brain. With special reference to spontaneous disappearance of arteriovenous malformation in cerebral angiography (author's transl)]. Neurol Med Chir (Tokyo) 1982; 22 (2) 125-132