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

  1. Sharma M and Mathur A. “Spinal Dural Arteriovenous Fistula-Induced Myelopathy: Rare and Commonly Missed but Treatable Nevertheless”. Indian Journal of Neurosurgery02 (2019): 108-112.
  2. Kilic Ahmet K. “A rare cause of radiculomyelitis: dural arteriovenous fistula”. JAMA Neurology 72 (2015): 217-218.
  3. Eerola I., et al. “Capillary malformation–arteriovenous malformation, a new clinical and genetic disorder caused by RASA1 mutations”. The American Journal of Human Genetics6 (2003):1240-1249.
  4. Krings T and Geibprasert S. “Spinal dural arteriovenous fistulas”. American Journal of Neuroradiology4 (2009): 639-648.
  5. Hassler W., et al. “Hemodynamics of spinal dural arteriovenous fistulass: An intraoperative study”. Journal of Neurosurgery3 (1989): 360-370.
  6. Fugate JE., et al. “Clinical presentation and prognostic factors of spinal dural arteriovenous fistulas: an overview”. Neurosurgical Focus5 (2012): E17.
  7. Zakhary SM., et al. “A case report of spinal dural arteriovenous fistula: origins, determinants, and consequences of abnormal vascular malformations”. Radiology Case Reports2 (2017): 376-382.
  8. Houser OW and Campbell JK. “Arteriovenous malformation affecting transverse dural venous sinuss – an acquired lesion”. Mayo Clinic Proceedings 54 (1979): 651-661.
  9. Lawton MT., et al. “Redefined role of angiogenesisin the pathogenesis of dural arteriovenous malformations”. Journal of Neurosurgery 42 (2000): 766-770.
  10. Van Dijk JM., et al. “Multidisciplinary management of spinal dural arteriovenous fistulas: clinical presentation and long-term follow-up in 49 patients”. Stroke6 (2002): 1578-1583.
  11. Sherif C., et al. “Long-term outcome of a multidisciplinary concept of spinal dural arteriovenous fistulae treatment”. Neuroradiology21 (2008): 67-74.
  12. Steinmetz MP., et al. “Outcome after the treatment of spinal dural arteriovenous fistulae: a contemporary single-institution series and meta-analysis”. Neurosurgery 55 (2004): 77-88.
  13. Kim S., et al. “Acute Paraplegia After Lumbar Steroid Injection in Patients with Spinal Dural Arteriovenous Fistulas”. Annals of Rehabilitation Medicine5 (2016): 949.
  14. Ong BY., et al. “Spinal anaesthesia for Caesarean section in a patient with a cervical arteriovenous malformation”. Canadian Journal of Anaesthesia10 (1996): 1052-1058.
  15. Budania LS., et al. “Spinal dural AV fistula: A nightmare for the anaesthesiologist”. Sri Lankan Journal of Anaesthesiology2 (2019).
  16. Warner Do., et al. “Temporary paraplegia following spinal anesthesia in a patient with a spinal cord arteriovenous malformation”. Anesthesiology 2 (1987): 236-237.
  17. George Gh and Edward M. “Dural Arteriovenous Fistulas: A review of the literature and a presentation of a single Institution’s experience”. World Neurosurgery (2013): 94-102.
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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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