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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
COBB syndrome treated by staged intravascular embolisation and surgery
1Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan.
The Medical Journal of Malaysia
|August 11, 2006
Summary
A spinal arteriovenous malformation caused progressive leg weakness. Treatment involving intravascular procedures and surgery improved the patient's mobility and neurological function.
Area of Science:
- Neurology
- Vascular Surgery
- Spinal Cord Medicine
Background:
- Spinal arteriovenous malformations (AVMs) are rare vascular anomalies that can lead to significant neurological deficits.
- Delayed diagnosis and treatment of spinal AVMs can result in progressive and irreversible neurological damage.
Observation:
- A 28-year-old man presented with a 5-year history of progressive spastic right lower limb weakness due to a C7-T2 spinal AVM.
- The patient experienced severe mobility impairment, impacting his quality of life.
Findings:
- A two-staged intravascular embolization procedure was performed, followed by surgical resection of the AVM.
- Post-treatment, the patient showed significant neurological recovery, improving to an ASIA (American Spinal Injury Association) impairment scale grade B.
Implications:
- This case highlights the importance of timely diagnosis and multimodal treatment for spinal AVMs.
- Successful management can lead to substantial neurological recovery and improved functional outcomes in patients with spinal cord vascular lesions.
