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JOURNAL OF NEUROSURGICAL SCIENCES

Rivista di Neurochirurgia


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Journal of Neurosurgical Sciences 2018 April;62(2):178-86

DOI: 10.23736/S0390-5616.17.04260-6

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Treatment strategies of spinal arteriovenous fistulas and malformations: timing matters

Wing M. HO, Alice GÖRKE, Ondra PETR , Claudius THOMÉ

Department of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria


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Spinal vascular malformations are a rare heterogeneous entity of spinal lesions with abnormal blood vessels. They may occur extra- and intradurally, peri- and intramedullary, with confined or complex configuration, and at various levels of the spine. Associated clinical symptoms are extremely variable and may range from diffuse pain, to progressive myelopathy, and even to acute hemorrhage with severe neurological deficits. Often, the patients present with significant spinal cord injury before the spinal arteriovenous lesions are diagnosed. Early recognition of the pathology is essential to cease potential disease progression and neurological deterioration. Therefore, the purpose of this review was to describe the current findings in spinal arteriovenous lesions focusing on the timing of treatment and treatment modality.


KEY WORDS: Arteriovenous malformation - Central nervous system vascular malformations - Therapeutics - Review - Spine

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Publication History

Issue published online: March 14, 2018
Article first published online: November 10, 2017
Manuscript accepted: November 7, 2017
Manuscript received: November 4, 2017

Per citare questo articolo

Ho WM, Görke A, Petr O, Thomé C. Treatment strategies of spinal arteriovenous fistulas and malformations: timing matters. J Neurosurg Sci 2018;62:178-86. DOI: 10.23736/S0390-5616.17.04260-6

Corresponding author e-mail

ondra.petr@yahoo.com