Work

Pediatric peri-medullary arteriovenous fistula: Pearls for diagnosis and treatment

Year: 2024

Type: article

Abstract: Pediatric type IVc perimedullary arteriovenous fistulae (PAVF) comprise a rare subcategory of spinal vascular malformations in which multiple spinal arteries directly connect with draining veins resulting in high-flow arteriovenous shunting and large intradural venous varicosities. Complete disconnection of the fistula is necessary to prevent hemorrhage or spinal compression. A surgical, rather than endovascular, approach proves favorable under specific circumstances. Due to the rarity of these pediatric fistulae, no large studies exist to enumerate these circumstances. This case report fills this void by detailing several considerations which favored surgery for a type IVc PAVF in a 17-year-old female patient.

Source: World Neurosurgery X

DOI: 10.1016/j.wnsx.2024.100401

Authors: Joshua A. Reynolds, Yashraj Srivastava, Muhammed Amir Essibayi, Anna Nia, Adisson Fortunel, Neil Haranhalli

Institutions: Albert Einstein College of Medicine, Montefiore Medical Center

Language: English

Topic: Vascular Malformations Diagnosis and Treatment

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,820