Spinal Vascular Malformation: a retrospective analysis of 32 cases
13th internation turkish spine federation congress, İzmir, Türkiye, 03 Nisan 2019, ss.90, (Özet Bildiri)
- Yayın Türü: Bildiri / Özet Bildiri
- Basıldığı Şehir: İzmir
- Basıldığı Ülke: Türkiye
- Sayfa Sayıları: ss.90
- İstanbul Üniversitesi Adresli: Evet
Özet
INTRODUCTION: Spinal vascular malformations, consisting of arteriovenous fistulas (AVF) and malformations (AVM), are rare cases comprising 3-4% of spinal lesions. Their treatment options are surgery, endovascular procedures and combinations of both. METHOD: 32 patients treated for spinal vascular malformations between 2003-2019 have been retrospectively reviewed. Type of the malformation, clinical and radiological features and treatment modalities have been reviewed. RESULTS: 29 were male, only three female. Mean age was found to be 44. There were 21 AVF patients, while there was 12 AVM patients. One patient was diagnosed with both AVF and AVM. Main neurological symptom was motor and sensory deficits. 17 patients were treated with surgery, 20 patients were treated with embolization and 5 patients were operated after partial embolization. The follow up period ranged from three to 18 months. 15 patients had a 3 or 6 months spinal angiography for radiological follow up. Remainders were followed up with MRI. 2 patients had asymptomatic residual lesions. Following treatment, 4 patients had increased neurological symptoms. The rest of the patients’ neurological examination remained stable or improved. One patient, who was first treated with surgery and then embolization, had wound complication 5 months after discharge. All patients with motor deficits were directed to physical therapy. CONCLUSION: In case of unexplained spinal pain, neurologic deficit or hemorrhage or unexplained spinal cord edema on T2 MRI scans, spinal vascular malformations should be brought to mind. Either surgery or endovascular embolization can be appropriate for these patients. Our study was compatible with literature for treatment achievement percentages. Keywords: arteriovenous fistula, arteriovenous malformation, spinal vascular malformations, spinal tumors, neurosurgery, neurointerventional radiology