Vega-Moreno Daniel A, Molina-Martínez Rodolfo P, Aburto-Murrieta Yolanda, Méndez-González Beatriz, Reyes-Soto Gervith, Serrano-Murillo Mónica, García-González Ulises, Chaurasia Bipin
Department of Neurosurgery, Hospital Central Sur de Alta Especialidad, PEMEX.
Neurological Endovascular Therapy Department, Instituto Nacional de Neurología y Neurocirugía 'Dr. Manuel Velazco Suarez'.
Ann Med Surg (Lond). 2024 Sep 5;86(10):6272-6275. doi: 10.1097/MS9.0000000000002529. eCollection 2024 Oct.
Spinal arteriovenous malformations (AVMs) are a rare condition that has a high risk of bleeding and complications. The authors present the case of a spinal arteriovenous malformation in an unusual location and presentation.
A 67-year-old man with subarachnoid hemorrhage due to a ruptured spinal arteriovenous malformation type IVa, with associated bulbomedullary aneurysm, which was managed conservatively due to the high risk of complications and mortality.
Spinal AVMs have had different management and treatments over the years, so conservative management remains an option when arterial cannulation is complex and surgery carries a high risk of complications.
Due to the high risk of complications of surgery in this location, conservative treatment is an option for the management of such cases with good outcomes.
脊髓动静脉畸形（AVM）是一种罕见疾病，具有较高的出血和并发症风险。作者介绍了一例位于不寻常位置且表现特殊的脊髓动静脉畸形病例。
一名67岁男性因IVa型脊髓动静脉畸形破裂导致蛛网膜下腔出血，伴有延髓球囊动脉瘤，由于并发症和死亡率风险高，采取了保守治疗。
多年来脊髓AVM有不同的管理和治疗方法，因此当动脉插管复杂且手术并发症风险高时，保守治疗仍是一种选择。
由于该部位手术并发症风险高，保守治疗是管理此类病例的一种选择，且效果良好。
