Spinal dural arteriovenous fistulas--presentation, management and outcome in a single neurosurgical institution

British Journal of Neurosurgery
S ClarkT Pigott

Abstract

To compare the outcome, with respect to treatment modality, of patients treated with spinal dural arteriovenous fistulas (SDAVF). Retrospective cohort study of patients with SDAVF assessed at a single tertiary referral centre, between 1999 and 2009. Intervention type, pre-/ post-intervention Aminoff-Logue disability score (ALDS) and recurrence rate were obtained from medical records. 26 patients were identified with 23 receiving intervention. All patients initially received super selective angiogram, with 13 undergoing endovascular embolization at this stage, after discussion between the surgeon and interventional radiologist. Six patients who underwent embolization had a recurrence. The remaining 10 patients had fistulas marked during angiography, and were then treated surgically, after discussion. One of these recurred. The difference in recurrence rate between the two intervention types was not statistically significant. Fistulas treated with the embolization material onyx were twice as likely to recur as those treated with the alternative material, histoacryl-lipiodol. There was a statistically significant difference between the modes of intervention in relation to clinical outcome. Surgeries lead to an improvement in neuro...Continue Reading

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Citations

Jun 5, 2016·Journal of Neurointerventional Surgery·Emanuele Orru'Philippe Gailloud
Jul 20, 2019·Journal of Neurosurgery. Spine·Kiyoharu ShimizuSatoshi Yamaguchi
Oct 3, 2019·Journal of Food Biochemistry·Wanqiu WangFengjie Huang
May 27, 2017·FASEB Journal : Official Publication of the Federation of American Societies for Experimental Biology·Zhengda PangHironori Nakagami
May 31, 2019·Journal of Neurology, Neurosurgery, and Psychiatry·Anshit GoyalMohamad Bydon
Aug 23, 2017·Neurologia i neurochirurgia polska·Jakub WojciechowskiAndrzej Marchel

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