Arteriovenous malformation of the cauda equina with arterial supply from branches of the internal iliac arteries

1972 ◽  
Vol 36 (5) ◽  
pp. 649-651 ◽  
Author(s):  
Sherman C. Stein ◽  
Ayub K. Ommaya ◽  
John L. Doppman ◽  
Giovanni Di Chiro

✓ A case is presented in which an arteriovenous malformation of the cauda equina received all of its arterial supply from branches of the internal iliac arteries. Surgical excision of the malformation was successfully accomplished. The need for thorough knowledge and arteriographic demonstration of all possible routes of arterial supply for such lesions is stressed.

1973 ◽  
Vol 39 (6) ◽  
pp. 770-774 ◽  
Author(s):  
Leslie D. Cahan ◽  
Robert W. Rand

✓ Stereotaxic coagulation of a single feeding vessel to a deeply situated arteriovenous malformation is described. The procedure involves stereotaxic positioning of a coagulating electrode to the arterial supply of the malformation. The placement is guided by intraoperative angiography. Although the coagulation did not immediately affect the feeding vessel, a postoperative angiogram obtained 1 month later demonstrated elimination of the major abnormalities in the malformation.


2000 ◽  
Vol 92 (1) ◽  
pp. 101-104 ◽  
Author(s):  
Cary D. Alberstone ◽  
Frederick W. Rupp ◽  
John A. Anson

U Spinal aneurysms are rare, and those not associated with either an arteriovenous malformation or coarctation of the aorta are particularly rare. In this report, the authors present a case of spinal aneurysm involving the lateral sacral artery. The aneurysm presented as a cauda equina syndrome 6 years after the patient underwent a renal transplant contralateral to the side of the aneurysm parent vessel. To the authors' knowledge, only one similar case has been previously reported. They conclude that spinal aneurysms should be included in the differential diagnosis of an extramedullary spinal mass lesion.


1995 ◽  
Vol 82 (2) ◽  
pp. 296-299 ◽  
Author(s):  
Michael K. Morgan ◽  
Maurice J. Day ◽  
Nicholas Little ◽  
Verity Grinnell ◽  
William Sorby

✓ The authors report two cases of treatment by intraarterial papaverine of cerebral vasospasm complicating the resection of an arteriovenous malformation (AVM). Both cases had successful reversal of vasospasm documented on angiography. In the first case sustained neurological improvement occurred, resulting in a normal outcome by the time of discharge. In the second case, neurological deterioration occurred with the development of cerebral edema. This complication was thought to be due to normal perfusion pressure breakthrough, on the basis of angiographic arterial vasodilation and increased cerebral blood flow. These two cases illustrate an unusual complication of surgery for AVMs and demonstrate that vasospasm (along with intracranial hemorrhage, venous occlusion, and normal perfusion pressure breakthrough) should be considered in the differential diagnosis of delayed neurological deterioration following resection of these lesions. Although intraarterial papaverine may be successful in dilating spastic arteries, it may also result in pathologically high flows following AVM resection. However, this complication has not been seen in our experience of treating aneurysmal subarachnoid hemorrhage by this technique.


1999 ◽  
Vol 90 (2) ◽  
pp. 264-266 ◽  
Author(s):  
Pierre Robe ◽  
Didier Martin ◽  
Jacques Lenelle ◽  
Achille Stevenaert

✓ The posterior epidural migration of sequestered lumbar disc fragments is an uncommon event. The authors report two such cases in which patients presented with either intense radicular pain or cauda equina syndrome. The radiological characteristics were the posterior epidural location and the ring enhancement of the mass after injection of contrast material. The major diagnostic pitfalls are discussed.


1977 ◽  
Vol 47 (1) ◽  
pp. 50-56 ◽  
Author(s):  
Hiroshi Matsumura ◽  
Yasumasa Makita ◽  
Kuniyuki Someda ◽  
Akinori Kondo

✓ We have operated on 12 of 14 cases of arteriovenous malformation (AVM) in the posterior fossa since 1968, with one death. The lesions were in the cerebellum in 10 cases (three anteromedial, one central, three lateral, and three posteromedial), and in the cerebellopontine angle in two; in two cases the lesions were directly related to the brain stem. The AVM's in the anterior part of the cerebellum were operated on through a transtentorial occipital approach.


1975 ◽  
Vol 42 (4) ◽  
pp. 457-461 ◽  
Author(s):  
Charles J. Hodge ◽  
Robert B. King

✓ The authors describe a patient with subarachnoid hemorrhage from an arteriovenous malformation of the choroid plexus and present a brief review of related reports.


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