scholarly journals Present Status in the Treatment of Dural Arteriovenous Fistulas in Japan(Recent Progress in the Diagnosis and Treatment of Cerebral and Spinal Vascular Malformation)

2011 ◽  
Vol 20 (1) ◽  
pp. 12-19 ◽  
Author(s):  
Naoya Kuwayama ◽  
Michiya Kubo ◽  
Shunro Endo ◽  
Nobuyuki Sakai
2011 ◽  
Vol 20 (1) ◽  
pp. 42-46
Author(s):  
Toshihiro Yokoi ◽  
Kenji Takagi ◽  
Naoki Nitta ◽  
Junya Jito ◽  
Tadateru Fukami ◽  
...  

2017 ◽  
Vol 23 (5) ◽  
pp. 458-464 ◽  
Author(s):  
Giacomo Talenti ◽  
Giovanni Vitale ◽  
Giacomo Cester ◽  
Alessandro Della Puppa ◽  
Roberto Faggin ◽  
...  

Spinal vascular malformations are uncommon yet important spinal pathologies commonly classified in congenital and acquired lesions. Spinal lipomas consist of three subtypes: intramedullary lipomas, lipomyelo(meningo)celes and lipomas of the filum. Although the association of spinal arteriovenous malformations (AVM) with other congenital anomalies is well known, the coexistence of dural arteriovenous fistulas (AVF) and tethered spinal cord is exceptionally rare and only eight cases have been reported. We present two cases from our institution and speculate on the possible origin of such a rare but insidious association. We review the current literature with a focus on possible pitfalls in diagnosis and treatment.


2021 ◽  
Vol 12 ◽  
pp. 53
Author(s):  
Nuno Cubas Farinha ◽  
Joaquim Cruz Teixeira ◽  
José Hipólito Reis ◽  
Domingos Coiteiro

Background: The filum terminale arteriovenous fistulas (FTAVFs) are a very rare type of spinal vascular malformation. Clinically, these lesions could present with a progressive ascending myelopathy also called FoixAlajouanine syndrome. Due to the rarity of these vascular malformation, some can be misdiagnosed, submitted to unnecessary spinal surgery, and even masqueraded as a failed back surgery syndrome. Based on the present case and related literature, we review all the cases with similar history and describe factors that should raise awareness for diagnosis of this spinal vascular malformation. Case Description: We present a case of a patient with a FTAVF at the level of L5-S1 that presented with a FoixAlajouanine syndrome. He had been previously submitted to a lumbar decompressive laminectomy without sustained improvement. After the identification and surgical treatment of the vascular malformation, he had progressive neurological improvement. Conclusion: FTAVF is a very rare spinal intradural spinal vascular malformation that can be masqueraded as a failed back surgery syndrome. In these cases, signs of ascending myelopathy should prompt awareness and vascular voids must be carefully evaluated in MRI.


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