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How I do it: angiography-assisted full endoscopic treatment of spinal dural arteriovenous fistula

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Abstract

Background

Spinal dural arteriovenous fistula (sDAVF) is a rare vascular malformation that leads to serious neurological symptoms. We treat a 52-year-old man with sDAVF in the thoracic segment exhibiting uncoordinated gait.

Method

Thoracic MRI of the lesion indicated myelomalacia and dilated blood vessels, while DSA revealed the right T6 radicular artery as the feeding arteriole. A full endoscopic obliteration of the lesion was performed under angiography guidance in a hybrid operation room.

Conclusion

The case underscores the importance of a multidisciplinary and individualized approach to successfully manage sDAVF using a fully endoscopic approach.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Chi Mei Medical Center, Tainan, Taiwan

    Yao-Lin Lee

  2. Department of Medical Imaging, Chi Mei Medical Center, Tainan, Taiwan

    Ching-Chung Ko

  3. Department of Health and Nutrition, Chia Nan University of Pharmacy and Science, Tainan City, Taiwan

    Ching-Chung Ko

  4. Department of Neurosurgery, Changhua Christian Hospital, Changhua City, Taiwan

    Chien-Min Chen

  5. Department of Neurosurgery, Chiali Chi Mei Hospital, Tainan, Taiwan

    Jen-Chieh Liao

  6. Department of Biomedical Engineering, College of Engineering, National Cheng Kung University, Tainan, Taiwan

    Jen-Chieh Liao

  7. Department of Biomedical Sciences, National Chung Cheng University, Chiayi, Taiwan

    Chien-Min Chen

  8. School of Medicine, College of Medicine, National Sun Yat-Sen University, Kaohsiung, Taiwan

    Ching-Chung Ko

Authors
  1. Yao-Lin Lee
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  2. Ching-Chung Ko
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  3. Chien-Min Chen
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  4. Jen-Chieh Liao
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Corresponding authors

Correspondence to Chien-Min Chen or Jen-Chieh Liao.

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Lee, YL., Ko, CC., Chen, CM. et al. How I do it: angiography-assisted full endoscopic treatment of spinal dural arteriovenous fistula. Acta Neurochir 166, 111 (2024). https://doi.org/10.1007/s00701-024-05997-0

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  • DOI: https://doi.org/10.1007/s00701-024-05997-0

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