Endovascular Treatment of a Lumbar Spinal Epidural Arteriovenous Fistula with Radiculopathy: A Case Report

Spinal epidural arteriovenous fistulas (SEDAVFs) are rare spinal vascular malformations that are difficult to diagnose and treat. SEDAVFs can be asymptomatic; however, symptoms can arise from the compression of adjacent nerve roots by dilated vein and perimedullary venous reflux, caused by shunti...

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Autores principales:	Hyun Hwang, Jae Ho Shin, Jae Taek Hong, Yon Kwon Ihn
Formato:	article
Lenguaje:	EN KO
Publicado:	The Korean Society of Radiology 2021
Materias:	fistula spine arteriovenous malformations Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/5b4c33809aea4ae3b67e24ed8351ca5e
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spelling	oai:doaj.org-article:5b4c33809aea4ae3b67e24ed8351ca5e2021-11-29T11:23:27ZEndovascular Treatment of a Lumbar Spinal Epidural Arteriovenous Fistula with Radiculopathy: A Case Report2288-2928https://doaj.org/article/5b4c33809aea4ae3b67e24ed8351ca5e2021-11-01T00:00:00Zhttps://doi.org/10.3348/jksr.2020.0188https://doaj.org/toc/2288-2928Spinal epidural arteriovenous fistulas (SEDAVFs) are rare spinal vascular malformations that are difficult to diagnose and treat. SEDAVFs can be asymptomatic; however, symptoms can arise from the compression of adjacent nerve roots by dilated vein and perimedullary venous reflux, caused by shunting into the epidural venous plexus. A 31-year-old male presented to our institution with a 2-year history of progressively worsening low-back pain, radiating thigh pain, and sensory changes in his lower extremities. MRI and CT angiography demonstrated dilated epidural vascular lesion compressing the nerve root. The SEDAVF was embolized with multiple coils, which alleviated the nerve root compression from the engorged venous varix and improved the patient’s radiculopathy. Our experience from this case shows that endovascular coil embolization using the transarterial approach can be an effective treatment for SEDAVF and an alternative to surgical ligations.Hyun HwangJae Ho ShinJae Taek HongYon Kwon IhnThe Korean Society of Radiologyarticlefistulaspinearteriovenous malformationsMedical physics. Medical radiology. Nuclear medicineR895-920ENKO대한영상의학회지, Vol 82, Iss 6, Pp 1628-1633 (2021)
institution	DOAJ
collection	DOAJ
language	EN KO
topic	fistula spine arteriovenous malformations Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	fistula spine arteriovenous malformations Medical physics. Medical radiology. Nuclear medicine R895-920 Hyun Hwang Jae Ho Shin Jae Taek Hong Yon Kwon Ihn Endovascular Treatment of a Lumbar Spinal Epidural Arteriovenous Fistula with Radiculopathy: A Case Report
description	Spinal epidural arteriovenous fistulas (SEDAVFs) are rare spinal vascular malformations that are difficult to diagnose and treat. SEDAVFs can be asymptomatic; however, symptoms can arise from the compression of adjacent nerve roots by dilated vein and perimedullary venous reflux, caused by shunting into the epidural venous plexus. A 31-year-old male presented to our institution with a 2-year history of progressively worsening low-back pain, radiating thigh pain, and sensory changes in his lower extremities. MRI and CT angiography demonstrated dilated epidural vascular lesion compressing the nerve root. The SEDAVF was embolized with multiple coils, which alleviated the nerve root compression from the engorged venous varix and improved the patient’s radiculopathy. Our experience from this case shows that endovascular coil embolization using the transarterial approach can be an effective treatment for SEDAVF and an alternative to surgical ligations.
format	article
author	Hyun Hwang Jae Ho Shin Jae Taek Hong Yon Kwon Ihn
author_facet	Hyun Hwang Jae Ho Shin Jae Taek Hong Yon Kwon Ihn
author_sort	Hyun Hwang
title	Endovascular Treatment of a Lumbar Spinal Epidural Arteriovenous Fistula with Radiculopathy: A Case Report
title_short	Endovascular Treatment of a Lumbar Spinal Epidural Arteriovenous Fistula with Radiculopathy: A Case Report
title_full	Endovascular Treatment of a Lumbar Spinal Epidural Arteriovenous Fistula with Radiculopathy: A Case Report
title_fullStr	Endovascular Treatment of a Lumbar Spinal Epidural Arteriovenous Fistula with Radiculopathy: A Case Report
title_full_unstemmed	Endovascular Treatment of a Lumbar Spinal Epidural Arteriovenous Fistula with Radiculopathy: A Case Report
title_sort	endovascular treatment of a lumbar spinal epidural arteriovenous fistula with radiculopathy: a case report
publisher	The Korean Society of Radiology
publishDate	2021
url	https://doaj.org/article/5b4c33809aea4ae3b67e24ed8351ca5e
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Endovascular Treatment of a Lumbar Spinal Epidural Arteriovenous Fistula with Radiculopathy: A Case Report

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