Spinal dural fistula and anterior spinal artery supply from the same segmental artery: Case report of volumetric T2 MRI diagnosis and rational endovascular treatment
Restricted accessResearch articleFirst published online October, 2019
Spinal dural fistula and anterior spinal artery supply from the same segmental artery: Case report of volumetric T2 MRI diagnosis and rational endovascular treatment
Spinal dural fistulas (SDAVFs) occasionally arise from the same segmental artery as the radiculomedullary branch to the anterior spinal artery. In such cases, selective fistula embolization that does not endanger the anterior spinal artery is not possible, and surgical fistula disconnection is recommended. We present an exceptional case in which rational embolization strategy of SDAVF was feasible because of separate origins from a common segmental artery pedicle of the ventral radiculomedullary artery and the dorsal radicular artery branch supplying the fistula.
JellemaKTijssenCCvan GijnJ. Spinal dural arteriovenous fistulas: A congestive myelopathy that initially mimics a peripheral nerve disorder. Brain2006; 129(Pt 12): 3150–3164.
3.
OdaSUtsunomiyaDHiraiT, et al. Comparison of dynamic contrast-enhanced 3T MR and 64-row multidetector CT angiography for the localization of spinal dural arteriovenous fistulas. AJNR Am J Neuroradiol2014; 35: 407–412.
4.
KannathSKAlampathPEnakshy RajanJ, et al. Utility of 3D SPACE T2-weighted volumetric sequence in the localization of spinal dural arteriovenous fistula. J Neurosurg Spine2016; 25: 125–132.
5.
MorrisJMKaufmannTJCampeauNG, et al. Volumetric myelographic magnetic resonance imaging to localize difficult-to-find spinal dural arteriovenous fistulas. J Neurosurg Spine2011; 14: 398–404.
6.
AmaroucheMHartJLSiddiquiA, et al. Time-resolved contrast-enhanced MR angiography of spinal vascular malformations. AJNR Am J Neuroradiol2015; 36: 417–422.
7.
da CostaLDehdashtiARterBruggeKG. Spinal cord vascular shunts: Spinal cord vascular malformations and dural arteriovenous fistulas. Neurosurg Focus2009; 26: E6.
8.
Adamkiewicz AW. Die Blutgefässe des menschlichen Rückenmarkes. II. Die Gefässe der Rückenmarksoberfläche Sitzungsberichte der Kaiserlichen Akademie der Wissenschaften. Mathematisch-Naturwissenschaftliche Classe. In: Sitzungsberichte der Kaiserlichen Akademie der Wissenschaften. 1882; 85: 29.
9.
SuhDCKimHSBaekHJ, et al. Angioarchitecture of spinal dural arteriovenous fistula—evaluation with 3D rotational angiography. Neurointervention2012; 7: 10–16.
10.
LasjauniasPLBerensteinAterBruggeKG. Surgical neuroangiography, Berlin; New York: Springer, 2001.
