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Updated: Feb 17, 2026
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
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Combined Spinal Arteriovenous Malformation and Spinal Dysraphism
Civan Islak1, Sedat Giray Kandemirli1, Osman Kizilkilic1
1Division of Neuroradiology, Department of Radiology, Istanbul University, Istanbul, Turkey.
World Neurosurgery
|December 11, 2017
Summary
Spinal arteriovenous malformations (AVMs) coexisting with spinal dysraphism are rare. Combined endovascular embolization and surgery offer effective treatment for these complex spinal cord vascular malformations.
Area of Science:
- Neurology
- Vascular Surgery
- Radiology
Background:
- Spinal vascular malformations are uncommon.
- The coexistence of spinal arteriovenous malformations (AVMs) with spinal dysraphism is exceptionally rare.
- This study reports two unique cases of this combined condition.
Observation:
- Case 1: AVM within a filum terminale lipoma, treated with embolization and surgery.
- Case 2: AVM within a lumbar lipomyelocele, managed with endovascular embolization.
- Both cases presented distinct imaging findings and management challenges.
Findings:
- Spinal angiography is crucial for understanding the complex anatomy.
- Combined endovascular embolization and surgical resection is a primary treatment strategy.
- Diagnostic and therapeutic approaches require careful consideration of individual patient anatomy.
Implications:
- Highlights the rarity and complexity of spinal AVMs associated with spinal dysraphism.
- Emphasizes the importance of advanced imaging and multidisciplinary treatment approaches.
- Provides insights into managing these challenging neurovascular conditions.
