Management of juvenile spinal AVM's by embolization and operative excision. Case report.
A small group of spinal arteriovenous malformations (AVM's) most commonly present in children or young adults, are characterized by a large size, high flow, the presence of multiple feeders, and frequent extension to paraspinous structures. Cardiac output requirements may be significantly increased by these so-called "juvenile" malformations, and a bruit is commonly noted. This report describes the obliteration of a juvenile spinal AVM. Staging of embolization and operative procedures was used to obliterate the AVM successfully without morbidity.
Spetzler
R F
RF
Division of Neurological Surgery, Barrow Neurological Institute, Phoenix, Arizona.
Zabramski
J M
JM
Flom
R A
RA
D000328:Adult; D000792:Angiography; D001165:Arteriovenous Malformations / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D013116:Spinal Cord / Q000098:blood supply*; D013382:Subtraction Technique; D014057:Tomography, X-Ray Computed