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Journal of Korean Neurosurgical Society 1989;18(1): 173-179. |
| Successful Treatment of a Spinal Intradural Arteriovenous Fistula. |
| Dal Soo Kim, Joon Ki Kang, Jin Un Song, Beum Saeng Kim |
| Department of Neurosurgery, Kangnam St. Mary's Hospital, Catholic University Medical College, Seoul, Korea. |
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| ABSTRACT |
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An 18 year-old male patient presenting with progressive paraparesis was found to have a spinal arteriovenous fistula at the thoracolumbar vertebral level. The lesion consisted of a direct communication of the anterior spinal artery with a distended arterialized vein that drained mostly superiorly to the thoracic cord and simulated a long dorsal lesion. The patient was successfully treated by surgical excision of feeding artery and draining vein including fistula at the L1-3 vertebral level. Ischemic damage of the spinal cord due to venous hypertension is suggested as the cause of the clinical manifestation. |
| Key Words:
Spinal cord; Arteriovenous malformation; Arteriovenous fistula; Paraparesis |
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