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- Title
How I do it: angiography-assisted full endoscopic treatment of spinal dural arteriovenous fistula.
- Authors
Lee, Yao-Lin; Ko, Ching-Chung; Chen, Chien-Min; Liao, Jen-Chieh
- Abstract
Background: Spinal dural arteriovenous fistula (sDAVF) is a rare vascular malformation that leads to serious neurological symptoms. We treat a 52-year-old man with sDAVF in the thoracic segment exhibiting uncoordinated gait. Method: Thoracic MRI of the lesion indicated myelomalacia and dilated blood vessels, while DSA revealed the right T6 radicular artery as the feeding arteriole. A full endoscopic obliteration of the lesion was performed under angiography guidance in a hybrid operation room. Conclusion: The case underscores the importance of a multidisciplinary and individualized approach to successfully manage sDAVF using a fully endoscopic approach.
- Subjects
ARTERIOVENOUS fistula; BLOOD vessels; SPINAL surgery; ANGIOGRAPHY; ENDOSCOPIC surgery; HUMAN abnormalities
- Publication
Acta Neurochirurgica, 2024, Vol 166, Issue 1, p1
- ISSN
0001-6268
- Publication type
Case Study
- DOI
10.1007/s00701-024-05997-0