Acta Scientific Medical Sciences (ISSN: 2582-0931)

Case Report Volume 4 Issue 6

Diagnostic and Treatment of Spinal Dural Arterio-Venous Fistulae: Case Report and Literature Review

Juna Musa1*, Edlira Horjeti2, Erisa Kola3, Farehaa Nasir4, Loran Rakovica5, Sachi Dave6, Carlisle St Martin7, Klejda Hoxha8 and Ali Guy9

1Postdoctoral Research Fellow, Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA
2Family Doctor, Department of Family Medicine, Tirane, Albania
3Department of Pathology and Forensic Medicine, Faculty of Medicine, UMT, Tirane, Albania
4Intern, Department of Surgery, Christian Hospital Quetta, Pakistan
5Medical Doctor, Faculty of Medicine, University of Prishtina, Prishtina, Kosova
6Medical Student, Touro Medical School, New York, USA
7Medical Doctor, Department of Neurology, Presbyterian/Weill-Cornell Medical Center, New York, USA
8Medical Doctor, University of Hospital Center Mother Teresa, Tirana, Albania
9Department of Physical Medicine and Rehabilitation, School of Medicine, NUY Medical Center, New York, USA

*Corresponding Author: Juna Musa, Postdoctoral Research Fellow, Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Received: April 16, 2020; Published: May 08, 2020

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Abstract

Dural arteriovenous (AV) fistula is a vascular malformation of the spinal cord that is usually found on the dural surface of the spinal cord and drain through the anterior or the posterior medullary vein. The incidence in the U.S population is estimated to be 5.9 women and 3.4 men per 100,000. Spinal cord edema may extend far away from the original site of the fistula. It is the most common spinal malformation, attributing to 80% of all spinal abnormalities. Spinal angiography is the diagnostic tool of choice to confirm the diagnosis of AV fistula. Patients usually present with upper motor neuron (UMN) and lower motor neuron (LMN) lesions [1]. The neurological symptoms progress gradually, including sensory and motor deficits as well as sphincter disturbances [2]. RASA 1 gene mutations is suggested to play an important role in the pathophysiology of the AV fistula [3]. Management includes surgical intervention or embolization. However, surgery is considered to be the best option, offering a 98% success rate [1].

Keywords:Spinal Dural Arterio-venous fistulae (SDAVFs); Upper Motor Neuron (UMN), Lower Motor Neuron (LMN)

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References

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Citation

Citation: Juna Musa., et al. “Diagnostic and Treatment of Spinal Dural Arterio-Venous Fistulae: Case Report and Literature Review". Acta Scientific Medical Sciences 4.6 (2020): 03-07.




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