Spinal intraosseous arteriovenous fistula in the fractured vertebral body.
A 68-year-old woman presenting with progressive paraparesis was diagnosed with an AVF involving a previously fractured L1 vertebral body on which feeders from multiple segmental arteries converged. The most distinctive feature in our patient was that the fistula was located in the vertebral body. Transarterial embolization of the segmental arteries with coils and glue resulted in total obliteration of the fistula, which in turn resulted in symptom improvement.
Jin
Y J
YJ
Department of Neurosurgery, Seoul National University College of Medicine, South Korea.
Chung
S K
SK
Kwon
O K
OK
Kim
H J
HJ
D000368:Aged; D000792:Angiography; D001164:Arteriovenous Fistula / Q000175:diagnosis* / Q000628:therapy; D004621:Embolization, Therapeutic; D005260:Female; D050815:Fractures, Compression / Q000175:diagnosis* / Q000628:therapy; D005598:Fractures, Spontaneous / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008159:Lumbar Vertebrae / Q000098:blood supply* / Q000293:injuries*; D008279:Magnetic Resonance Imaging; D009460:Neurologic Examination; D010264:Paraplegia / Q000209:etiology; D016103:Spinal Fractures / Q000175:diagnosis* / Q000601:surgery; D013904:Thoracic Vertebrae / Q000098:blood supply*; D014057:Tomography, X-Ray Computed