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三例分别位于颈椎、胸椎和腰椎水平的脊髓动静脉畸形(sAVM)的血管内治疗结果:一项基于单机构的罕见病例系列研究,随访一年

Endovascular Outcomes With One-Year Follow-Up of Three Cases of Spinal Arteriovenous Malformation (sAVM) at Cervical, Dorsal, and Lumbar Levels: A Single Institution-Based Case Series of a Rare Entity.

作者信息

Gedala Srinivas, Nirmala Ramachandran Sreehari, Mini Malathi, Thomas Dalvin, Menon Sajesh K

机构信息

Neurosurgery, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, IND.

Public Health, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, IND.

出版信息

Cureus. 2025 Feb 6;17(2):e78652. doi: 10.7759/cureus.78652. eCollection 2025 Feb.

Abstract

Spinal arteriovenous malformation (sAVM) is a rare vascular disease of the spine, presenting with symptoms of spinal cord involvement including sensory, motor, and autonomic symptoms. Early diagnosis is critical as the disease progresses to cause spinal cord compression, venous hypertension, and compression leading to spinal cord ischemia or infarction. In this case series, we present three cases treated at our institution over one year, with distinctly different anatomical sites of involvement. The three cases include two cases of type IV (perimedullary) AVMs - one at the C1-C2 level of the spinal cord and the other at the L1 level; and one case of type I (dural) AVM - at the D9-L1 level. Prompt diagnosis was made with the help of MRI and angiography. Endovascular embolization was performed for all patients, whose condition returned to normal within one year of follow-up.

摘要

脊髓动静脉畸形(sAVM)是一种罕见的脊柱血管疾病,表现为脊髓受累症状,包括感觉、运动和自主神经症状。由于该疾病会进展导致脊髓压迫、静脉高压以及压迫导致脊髓缺血或梗死,因此早期诊断至关重要。在本病例系列中,我们呈现了一年内在我们机构治疗的三例病例,其受累的解剖部位明显不同。这三例病例包括两例IV型(髓周)动静脉畸形——一例位于脊髓C1 - C2水平,另一例位于L1水平;以及一例I型(硬脑膜)动静脉畸形——位于D9 - L1水平。借助MRI和血管造影术进行了快速诊断。对所有患者均进行了血管内栓塞治疗,随访一年内其病情恢复正常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d90/11890172/65582c577896/cureus-0017-00000078652-i01.jpg

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