Challenging dogma: report of a spinal cord arteriovenous malformation as an acquired lesion in a pediatric patient

2020 ◽  
Vol 32 (2) ◽  
pp. 302-304
Author(s):  
Waleed Brinjikji ◽  
Edward S. Ahn ◽  
Marc C. Patterson ◽  
Giuseppe Lanzino
Keyword(s):  
Spinal Cord ◽  
Young Adult ◽  
Arteriovenous Malformation ◽  
Young Patient ◽  
Pediatric Patient ◽  
Arteriovenous Malformations ◽  
De Novo ◽  
Vascular Malformations ◽  
Brain Avms ◽  
Spinal Cord Arteriovenous Malformation

Spinal cord intramedullary arteriovenous malformations (AVMs) have classically been considered congenital lesions that are present from birth. The reason for this dogmatic principal is the fact that a vast majority of these lesions present in pediatric and young adult patients. Interestingly, while many authors have demonstrated the development of de novo nidus-type brain AVMs, there have been no reported cases of a de novo intramedullary or perimedullary AVM of the spine. In this paper the authors describe what they believe to be the first reported case of a de novo AVM of the spinal cord in a young patient who underwent serial imaging from birth for evaluation of a syrinx. Potential pathophysiological mechanisms for the development of de novo vascular malformations of the spinal cord are discussed.

Development of a de novo arteriovenous malformation after severe traumatic brain injury

2014 ◽  
Vol 14 (4) ◽  
pp. 418-420 ◽  
Author(s):  
Brandon A. Miller ◽  
David I. Bass ◽  
Joshua J. Chern
Keyword(s):  
Traumatic Brain Injury ◽  
Cerebral Cortex ◽  
Brain Injury ◽  
Arteriovenous Malformation ◽  
Severe Traumatic Brain Injury ◽  
Arteriovenous Malformations ◽  
De Novo ◽  
First Report ◽  
Congenital Lesions

Arteriovenous malformations (AVMs) are typically considered congenital lesions, although there is growing evidence for de novo formation of these lesions as well. The authors present the case of an AVM in the same cerebral cortex that had been affected by a severe traumatic brain injury (TBI) more than 6 years earlier. To the best of the authors' knowledge, this is the first report attributing the formation of an AVM directly to TBI.

Neurogenic Pulmonary Edema Associated with Ruptured Spinal Cord Arteriovenous Malformation

Neurosurgery ◽  
1983 ◽  
Vol 12 (6) ◽  
pp. 691-693 ◽  
Author(s):  
Don S. Lee ◽  
Arthur Kobrine
Keyword(s):  
Spinal Cord ◽  
Arteriovenous Malformation ◽  
Pulmonary Edema ◽  
Neurogenic Pulmonary Edema ◽  
Spinal Cord Arteriovenous Malformation

Abstract A case of neurogenic pulmonary edema (NPE) associated with a ruptured spinal cord arteriovenous malformation (AVM) is presented. The mechanisms involved in the development of NPE are discussed briefly. The possible role of preganglionic sympathetic fibers in the spinal cord in the etiology of NPE is suggested.

scholarly journals Arteriovenous Malformation of the Oral Cavity

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
S. M. Manjunath ◽  
Sujan Shetty ◽  
Ninad J. Moon ◽  
Bhushan Sharma ◽  
Kiran Kumar Metta ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Arteriovenous Malformations ◽  
Vascular Malformations ◽  
Vascular Anomaly ◽  
Benign Disease ◽  
Vascular Tumors ◽  
Management Approach ◽  
Lymphatic Capillary ◽  
Clinical Behavior ◽  
Specific Morphology

Vascular anomalies are a heterogeneous group of congenital blood vessel disorders more typically referred to as birthmarks. Subcategorized into vascular tumors and malformations, each anomaly is characterized by specific morphology, pathophysiology, clinical behavior, and management approach. Hemangiomas are the most common vascular tumors. Lymphatic, capillary, venous, and arteriovenous malformations make up the majority of vascular malformations. Arteriovenous malformation of the head and neck is a rare vascular anomaly but when present is persistent and progressive in nature and can represent a lethal benign disease. Here we present a case report of a 25-year-old male patient with arteriovenous malformation involving the base of tongue.

scholarly journals Multifocal and Metameric Spinal Cord Arteriovenous Malformations

1999 ◽  
Vol 5 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Y. Matsumaru ◽  
S. Pongpech ◽  
J. Laothamas ◽  
H. Alvarez ◽  
G. Rodesch ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Neural Crest ◽  
Arteriovenous Malformations ◽  
Vascular Malformations ◽  
Vascular Lesions ◽  
Frequent Type ◽  
Associated Lesions ◽  
Neural Crest Origin ◽  
Cord Lesion

We describe 19 (16.0%) multiple vascular malformations (AVMs) in 119 spinal cord arteriovenous malformations (SCAVMs). The associated lesions were eight vertebral vascular malformations, two cutaneous, four limbs, four radicular AVMs, three bifocal SCAVMs; one patient had a bifocal cord lesion associated with vertebral and limb localisations. Various syndromic associations were seen: nine Cobb, two Klippel-Trenaunay-Weber, one Parkes Weber. An additional subgroup of unclassified associations is constituted by seven cases with bifocal intradural uni or multimetamerk lesions. In our SCAVMs series, the incidence of multiple vascular lesions is high, in particular multifocal intradural malformations. Metameric distribution is the most frequent type of multiplicity. Identification of the myelomeric level involved in SCAVM allows segmental link between various lesions of mesodermal or neural crest origin to be discussed.

Spinal cord arteriovenous malformation in a neonate

1986 ◽  
Vol 64 (2) ◽  
pp. 322-324 ◽  
Author(s):  
T. S. Park ◽  
Wayne S. Cail ◽  
Johnny B. Delashaw ◽  
John Kattwinkel
Keyword(s):  
Spinal Cord ◽  
Arteriovenous Malformation ◽  
Clinical Manifestation ◽  
Neurological Deterioration ◽  
Ischemic Damage ◽  
Aneurysmal Dilatation ◽  
Content Type ◽  
Spinal Cord Arteriovenous Malformation ◽  
Fine Print

✓ A 2-day-old neonate with a spinal cord arteriovenous malformation developed severe paraparesis. The abrupt neurological deterioration was not associated with hemorrhage or aneurysmal dilatation. Ischemic damage of the spinal cord is suggested as the cause of the clinical manifestation.

Modified classification of spinal cord vascular lesions

2002 ◽  
Vol 96 (2) ◽  
pp. 145-156 ◽  
Author(s):  
Robert F. Spetzler ◽  
Paul W. Detwiler ◽  
Howard A. Riina ◽  
Randall W. Porter
Keyword(s):  
Spinal Cord ◽  
Classification System ◽  
Arteriovenous Malformations ◽  
Vascular Malformations ◽  
Relevant Literature ◽  
Vascular Lesions ◽  
Cavernous Malformations ◽  
Content Type ◽  
Arteriovenous Fistulas ◽  
Fine Print

The literature on spinal vascular malformations contains a great deal of confusing terminology. Some of the nomenclature is inconsistent with the lesions described. Based on the experience of the senior author (R.F.S.) in the treatment of more than 130 spinal cord vascular lesions and based on a thorough review of the relevant literature, the authors propose a modified classification system for spinal cord vascular lesions. Lesions are divided into three primary or broad categories: neoplasms, aneurysms, and arteriovenous lesions. Neoplastic vascular lesions include hemangioblastomas and cavernous malformations, both of which occur sporadically and familially. The second category consists of spinal aneurysms, which are rare. The third category, spinal cord arteriovenous lesions, is divided into arteriovenous fistulas and arteriovenous malformations (AVMs). Arteriovenous fistulas are subdivided into those that are extradural and those that are intradural, with intradural lesions categorized as either dorsal or ventral. Arteriovenous malformations are subdivided into extradural-intradural and intradural malformations. Intradural lesions are further divided into intramedullary, intramedullary-extramedullary, and conus medullaris, a new category of AVM. This modified classification system for vascular lesions of the spinal cord, based on pathophysiology, neuroimaging features, intraoperative observations, and neuroanatomy, offers several advantages. First, it includes all surgical vascular lesions that affect the spinal cord. Second, it guides treatment by classifying lesions based on location and pathophysiology. Finally, it eliminates the confusion produced by the multitude of unrelated nomenclatural terms found in the literature.

scholarly journals Early description of synchronous double spinal vascular malformations by Łucja Frey in 1928

2016 ◽  
Vol 25 (2) ◽  
pp. 271-278 ◽  
Author(s):  
Philippe Gailloud
Keyword(s):  
Spinal Cord ◽  
Arteriovenous Malformation ◽  
Vascular Malformation ◽  
Vascular Malformations ◽  
Current Understanding ◽  
Complex Case ◽  
Spinal Arteriovenous Malformation ◽  
Spinal Vascular Malformations ◽  
Early Description ◽  
Auriculotemporal Nerve

The Polish neurologist Łucja Frey (1889–1942) is principally remembered for her description of the auriculotemporal nerve (or Frey's) syndrome. She also reported a complex case of spinal cord vascular malformation in 1928, which included one of the earliest accurate anatomopathological depictions of a spinal arteriovenous malformation as well as the first known observation of double synchronous spinal cord vascular malformation. An abbreviated translation of Frey's report is followed by a discussion of the place occupied by her contribution in the development of our current understanding of spinovascular disorders.

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