How I do it: angiography-assisted full endoscopic treatment of spinal dural arteriovenous fistula

Acta Neurochir (Wien). 2024 Feb 27;166(1):111. doi: 10.1007/s00701-024-05997-0.

Abstract

Background: Spinal dural arteriovenous fistula (sDAVF) is a rare vascular malformation that leads to serious neurological symptoms. We treat a 52-year-old man with sDAVF in the thoracic segment exhibiting uncoordinated gait.

Method: Thoracic MRI of the lesion indicated myelomalacia and dilated blood vessels, while DSA revealed the right T6 radicular artery as the feeding arteriole. A full endoscopic obliteration of the lesion was performed under angiography guidance in a hybrid operation room.

Conclusion: The case underscores the importance of a multidisciplinary and individualized approach to successfully manage sDAVF using a fully endoscopic approach.

Keywords: Angiography-assisted surgery; Endoscopic spine surgery (ESS); Spinal dural arteriovenous fistula (sDAVF).

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Arteries
  • Central Nervous System Vascular Malformations* / diagnostic imaging
  • Central Nervous System Vascular Malformations* / surgery
  • Endoscopy
  • Humans
  • Male
  • Middle Aged
  • Spinal Cord Diseases*