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Abstract

We describe a rare case of multiple arteriovenous fistulae of the spinal cord (SCAVF) in the same myelomer in a five-year-old boy. This case report consists of a trifocal SCAVF at the Th12 myelomeric level without communication between the three different fistulae. Two AVF were located posteriorly, bilateraly, in the spinal cord, fed by left and right posterior radiculopial arteries and one anteriorly in the anterior spinal axis. The venous drainage was independent for each lesion. The patient presents associated lesions characterized by cutaneous stain and inferior limb asymmetry. A metameric distribution is the explanation for the multiplicity of these lesions in a syndromic association related to Cobb syndrome. The patient was treated by transarterial embolization using glue with occlusion of the three different fistulae. The patient achieved a good improvement in neurological status.

Keywords

spinal cord arteriovenous malformation multiple vascular lesion Cobb syndrome aetiology congenital origin

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References

Cogen

Stein

: Spinal arteriovenous malformations with significant intramedullary components. J Neurosurg 59: 471–487, 1983.

Meisel

Lasjaunias

Brock

: Multiple arteriovenous malformations of the spinal cord in a adolescent. Case report. Interventional Neuroradiology 38: 490–493, 1996. Springer-Verlag.

Garcia-Monaco : Pial AVF in children as presenting manifestation of ROW disease. Interventional Neuroradiology. Neuroradiology 37: 60–64, 1995. Springer-Verlag.

Djindjian

: Intradural extramedullary spinal arteriovenous malformations fed by the anterior spinal artery. Surg Neurol 8: 85–93, 1977.

Rodesch : Spinal cord AVM in a pediatric population. Children below 15 years of age. The place of Endovascular Management. Interventional Neuroradiology 1: 29–42, 1995.

Rodesch : Embolization of arteriovenous malformations of the spinal cord. In: Valavanis

(ed): Interventional Neuroradiology. Chapter 9. Springer Verlag, Berlin 1993: 135–150.

Berenstein

Lasjaunias

: Surgical neuroangiography. Vol 5. Endovascular treatment of spine and spinal cord lesions. Springer-Verlag, Berlin, Heidelberg, New York 1991.

Willinsky

: Brain arteriovenous malformations: Analysis of the angioarchitecture in relationship to hemorrhage. J Neuroradiol 15: 225–237, 1988.

Gaikwad

: Spinal cord A-V fistula associated with a giant venous pouch in a three year old child. Interventional Neuroradiology 3: 247–253, 1997.

10.

Willinsky : Multiple cerebral arteriovenous malformations (AVMs). Neuroradiology 32: 207–210, 1990.

11.

Matsumaru : Multifocal and metameric SCAVM. Review of 19 cases. Interventional Neuroradiology 5: 27–34, 1999.

12.

Niimi

: Multiple spinal perimedullary arteriovenous fistulae associated with Parkes-Weber syndrome. A case report. Interventional Neuroradiology 4: 151–157, 1998.

13.

Couly

Coltey

: The angiogenetic potentials of the cephalic mesoderm and the origin of brain and head blood vessels. Mechanisms of development 53: 97–112, 1995.

14.

Lasjaunias

: A revised concept of the congenital nature of cerebral arteriovenous malformations. Interventional Neuroradiology 3: 275–281, 1997.

15.

Campos

: Multiple intracranial aneurysms: A congenital metameric disease? Review of 113 consecutive patients with 280 AA. Interventional Neuroradiology 4: 293–299, 1998.

16.

Lasjaunias

: Vascular diseases in neonates, infants and children. Interventional Neuroradiology Management. Springer Verlag, Heidelberg, New York 1997.

Trifocal Monomyelomeric Spinal Cord Arteriovenous Fistulae in a Seven-Year-Old Boy

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