+1 (629)348-3199A case involving a giant aberrant Craniocervical Arteriovenous Malformation
19th International Conference on Neurology and Neurological Disorders
November 04-05, 2019 | Melbourne, Australia
Agung Budi Sutiono
Padjadjaran University, Indonesia
Posters & Accepted Abstracts : J Neurol Neurorehabil Res
Abstract:
Background: Spinal Cord Arteriovenous Malformations
(SCAVMs) comprise about 3-4% of primary intraspinal masses
and are only rarely found external to the C2-C7 cervical
vertebral foramena.
Case description: A 21-year-old female presented with
neck pain, and a spastic quadriparesis of 1 year’s duration.
The cervical MRI and 3D CT angiograms documented an
arteriovenous malformation (AVM)/dural artery venous fistula
(dAVF) on the right fed by multiple arteries located in the C1-2
and C5-7 foramena intervertebralis. The patient underwent a
laminectomy at C5-6 where large feeding arteries extending
through the foramena of C5-6, C6-7 were double-clipped.
This allowed for devascularization of the AVM and facilitated
resection, while preserving the aberrant vertebral artery. The
patient was discharged within one week. Two months later, she
was able to ambulate to the outpatient clinic.
Conclusion: Double clipping of the two main arterial feeders
at the C5-C6 and C6-C7 levels of this aberrant cervical AVM
was critical to facilitate resection, while carefully preserving
the aberrant vertebral artery itself.
Biography:
E-mail:
agungbudis@gmail.comPDF HTML