Surgical Treatment of Spinal Dural Arteriovenous Fistula: Management and Long-Term Outcome in a Single-Center Series

World Neurosurgery
Patrick SchussErdem Güresir

Abstract

To perform a retrospective chart review of surgically treated patients with spinal dural arteriovenous fistula (SDAVF), a rare disease but the most common vascular malformation of the spine, focusing on clinical characteristics and functional outcome during long-term follow-up. Between June 1990 and April 2012, 29 patients with SDAVFs were treated surgically in a single institution. Patient characteristics, time from onset of symptoms to treatment, radiologic features, treatment-related complications, and functional outcome were analyzed. Outcome was assessed according to the Aminoff-Logue scale during follow-up. Results of magnetic resonance imaging scans performed during long-term follow-up were correlated with functional outcome. There were 3 female (10%) and 26 male (90%) patients with SDAVFs treated surgically. Mean age was 61 years ± 11. Location of the fistula was at the thoracic level in 20 patients (69%), at the lumbar level in 8 patients (28%), and at the sacral level in 1 patient (3%). Mean postoperative Aminoff-Logue scale scores regarding gait and micturition improved after treatment compared with preoperatively (P = 0.02; P = 0.03). After surgical treatment, 22 patients (76%) achieved improvement in neurologic sym...Continue Reading

References

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Citations

Jan 21, 2017·Journal of Neurosurgery. Spine·Matthew J KochAman B Patel
May 31, 2019·Journal of Neurology, Neurosurgery, and Psychiatry·Anshit GoyalMohamad Bydon
Aug 23, 2017·Neurologia i neurochirurgia polska·Jakub WojciechowskiAndrzej Marchel
Jun 14, 2021·Clinical Neurology and Neurosurgery·Mingtao LuoMin He

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