Almawi Abdullah S, Alhammad Abdulaziz S, Alshammari Zaid A, Althubait Shorog, Alqahtani Sultan
Radiology, Security Forces Hospital, Riyadh, SAU.
Radiology, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.
Cureus. 2023 Jul 25;15(7):e42425. doi: 10.7759/cureus.42425. eCollection 2023 Jul.
Spinal dural arteriovenous fistulae (SDAVF) are rare diseases that exhibit abnormal connections between arteries and veins. They are even rarer in the pediatric population and pose diagnostic and treatment challenges for physicians. Its presentation varies depending on the site and size of the SDAVF. Multiple management options are available, which are usually tailored depending on the patient's condition. Here, we present a rare case of SDAF in a four-year-old girl who initially presented with bilateral lower limb weakness. The patient was then treated successfully using primary major fistula point stenting and intra-stent coiling, with complete closure achieved. Full recovery was achieved over the course of follow-ups. The deep analysis of SDAVF, its classification, and the utilization of the best available endovascular tools by a dedicated neurovascular team offer the best outcome in dealing with complex spinal neurovascular pathologies.
脊髓硬脊膜动静脉瘘（SDAVF）是一种罕见的疾病，其动脉与静脉之间存在异常连接。在儿科人群中更为罕见，给医生带来诊断和治疗挑战。其表现因SDAVF的部位和大小而异。有多种治疗选择，通常根据患者情况进行定制。在此，我们报告一例罕见的4岁女童SDAF病例，该女童最初表现为双侧下肢无力。患者随后通过主要瘘口点的初次支架置入和支架内弹簧圈栓塞成功治疗，实现了完全闭合。随访期间完全康复。由专业神经血管团队对SDAVF进行深入分析、分类，并使用最佳的血管内工具，可为处理复杂的脊髓神经血管病变带来最佳结果。
