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A rare intraosseous arteriovenous malformation of the spine

The authors report the case of a patient with an intraosseous spinal arteriovenous malformation (AVM) presenting as an epidural mass lesion that was causing spinal cord compression. The 59-year-old woman had bilateral numbness, weakness, and hyperreflexia of both legs. Magnetic resonance imaging revealed intermediate T1 signal and hyperintense T2 signal involving the right transverse process, bilateral pedicles, and T-5 spinous process; the lesion’s epidural extension was causing severe canal compromise and cord displacement. Coil embolization was performed, and the patient underwent resection, after which preoperative symptoms improved. Histopathological analysis revealed a benign vascular proliferation consistent with an intraosseous spinal AVM. On review of the literature, the authors found this case to be the second intraosseous spinal AVM, and the first in a patient whose clinical presentation was consistent with that of a mass lesion of the bone

Keywords : analysis,Angiography,Digital Subtraction,Arteriovenous Malformations,blood supply,complications,diagnosis,Diagnosis,Differential,Embolization,Therapeutic,etiology,Female,Humans,Leg,Magnetic Resonance Imaging,methods,Middle Aged,pathology,physiopathology,Rare Diseases,Severity of Illness Index,Spinal Cord,Spinal Cord Compression,Spine,surgery,therapy,Thoracic Vertebrae,Tomography,X-Ray Computed,Treatment Outcome,Universities,, Rare,Intraosseous,Arteriovenous,Malformation, injury claims london

Date of Publication : 2011 Sep

Authors : Louis RG;Yen CP;Mohila CA;Mandell JW;Sheehan J;

Organisation : Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia 22903, USA. rgl2n@virginia.edu

Journal of Publication : J Neurosurg Spine

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21663404

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