Pediatric metameric cervical spinal cord arteriovenous malformation managed with staged endovascular and spinal stabilization approach: a case report.

Autor: Gabay S; Department of Pediatric Neurosurgery and Pediatric Brain Institute, Dana Dwek Children Hospital, Tel Aviv Medical Center, Tel Aviv, Israel.; Department of Neurosurgery, Spine Surgery Unit, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel., Hausman-Kedem M; Pediatric Neurology Unit, Dana Dwek Children Hospital, Tel Aviv Medical Center, Tel Aviv, Israel.; Tel Aviv University, Tel Aviv, Israel., Sadeh Gonik U; Tel Aviv University, Tel Aviv, Israel.; Department of Radiology, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel., Jonash-Kimchi T; Tel Aviv University, Tel Aviv, Israel.; Department of Radiology, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel., Shiran S; Tel Aviv University, Tel Aviv, Israel.; Pediatric Radiology Unit, Dana Dwek Children Hospital, Tel Aviv Medical Center, Tel Aviv, Israel., Chapot R; Department of Neuroradiology and Intracranial Endovascular Therapy, Alfried Krupp Krankenhaus Rüttenscheid, Essen, Germany., Roth J; Department of Pediatric Neurosurgery and Pediatric Brain Institute, Dana Dwek Children Hospital, Tel Aviv Medical Center, Tel Aviv, Israel.; Tel Aviv University, Tel Aviv, Israel., Lidar Z; Department of Neurosurgery, Spine Surgery Unit, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel.; Tel Aviv University, Tel Aviv, Israel., Ofir D; Department of Neurosurgery, Spine Surgery Unit, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel. drorof@tlvmc.gov.il.; Tel Aviv University, Tel Aviv, Israel. drorof@tlvmc.gov.il.
Jazyk: angličtina
Zdroj: Spinal cord series and cases [Spinal Cord Ser Cases] 2024 Dec 11; Vol. 10 (1), pp. 80. Date of Electronic Publication: 2024 Dec 11.
DOI: 10.1038/s41394-024-00691-w
Abstrakt: Introduction: Spinal cord arteriovenous malformations (SCAVM) are rare congenital vascular malformations, characterized by two or more AVMs affecting any of the spinal segments. SCAVM has complex pathophysiology and may be associated with acute, or progressively neurological deficits.
Case Presentation: A 12-year old girl, presented with progressive neurologic deficits secondary to compressive cervical myelopathy due to a cervical metameric SCAVM. She was successfully treated with a staged surgical-endovascular approach and regained normal neurological function with radiological stability.
Discussion: SCAVM is a rare disease with complex management, and in many cases, the treatment is focused on palliative care. With multimodality management, of a combined surgical-endovascular approach, the patient achieved neurological, functional, and structural stability over the follow-up period.
Competing Interests: Competing interests: The authors declared no competing interests. Consent for publication: Consent for publication was obtained from the patient’s legal guardian. The patient and her legal guardian were ensured anonymity and are aware that they can withdraw consent at any time before online publication.
(© 2024. The Author(s), under exclusive licence to International Spinal Cord Society.)
Databáze: MEDLINE
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