A case of spinal epidural venous malformation with mediastinal extension: management with combined surgery and percutaneous sclerotherapy

Journal of Neurosurgery. Pediatrics
Gurpreet S GandhokeStephanie Greene

Abstract

While spinal epidural arteriovenous malformations, fistulas, and shunts are well reported, the presence of a venous malformation in the spinal epidural space is a rare phenomenon. Herein, the authors report the clinical presentation, imaging findings, pathological features, and the outcome of surgical and percutaneous interventional management of a mediastinal and spinal epidural venous malformation in a young woman who presented clinically with neurogenic claudication from presumed venous hypertension precipitating the formation of a syrinx. The patient underwent a C6-T5 osteoplastic laminectomy for decompression of the spinal canal and subtotal resection of the epidural venous malformation, followed by percutaneous sclerotherapy of the mediastinal and residual anterior spinal venous malformation. She developed transient loss of dorsal column sensation, which returned to baseline within 3 weeks of the surgery. A 6-month postoperative MRI study revealed complete resolution of the syrinx and the mediastinal venous malformation. Twelve months after the surgery, the patient has had resolution of all neurological symptoms with the exception of her premorbid migraine headaches. A multidisciplinary approach with partial resection and...Continue Reading

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Citations

Oct 26, 2013·Neuroimaging Clinics of North America·Neeraj ChaudharyJoseph J Gemmete

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Methods Mentioned

BETA
biopsy
total resection

Software Mentioned

ISSVA

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