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Case Reports
. 2024 Feb 27;166(1):111.
doi: 10.1007/s00701-024-05997-0.

How I do it: angiography-assisted full endoscopic treatment of spinal dural arteriovenous fistula

Yao-Lin Lee  1 , Ching-Chung Ko  2   3   4 , Chien-Min Chen  5   6 , Jen-Chieh Liao  7   8
Affiliations
Case Reports

How I do it: angiography-assisted full endoscopic treatment of spinal dural arteriovenous fistula

Yao-Lin Lee et al. Acta Neurochir (Wien). .

Abstract

Background: Spinal dural arteriovenous fistula (sDAVF) is a rare vascular malformation that leads to serious neurological symptoms. We treat a 52-year-old man with sDAVF in the thoracic segment exhibiting uncoordinated gait.

Method: Thoracic MRI of the lesion indicated myelomalacia and dilated blood vessels, while DSA revealed the right T6 radicular artery as the feeding arteriole. A full endoscopic obliteration of the lesion was performed under angiography guidance in a hybrid operation room.

Conclusion: The case underscores the importance of a multidisciplinary and individualized approach to successfully manage sDAVF using a fully endoscopic approach.

Keywords: Angiography-assisted surgery; Endoscopic spine surgery (ESS); Spinal dural arteriovenous fistula (sDAVF).

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