Download PDF
CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(04): 1048-1052
DOI: 10.4103/ajns.AJNS_100_17
Original Article

Type I spinal arteriovenous fistula with ventral intradural venous drainage: A proposal of a modified classification

Nimer Adeeb
1   Department of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
,
Justin Moore
1   Department of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
,
Abdulrahman Alturki
1   Department of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
2   Department of Neurosurgery, King Fahad Medical City, National Neurosciences Institute, Riyadh, Saudi Arabia
,
Ketan Bulsara
3   Department of Neurosurgery, Yale University School of Medicine, New Haven, CT
,
Christoph Griessenauer
1   Department of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
,
Apar Patel
1   Department of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
,
Raghav Gupta
1   Department of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
,
R Tubbs
4   Seattle Science Foundation, Seattle, WA
,
Christopher Ogilvy
1   Department of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
,
Ajith Thomas
1   Department of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
› Author Affiliations
› Further Information
  PDF Download Permissions and Reprints

Objectives: Spinal arteriovenous fistula (AVF) is the most common spinal vascular lesion and constitutes an abnormal communication between a feeder artery and a draining vein. Arterialization of the venous plexus leads to venous hypertension; consequent edema and congestion of the spinal cord are associated with progressive neurological decline. Patients and Methods: In this report, we describe two unique cases of type I cervical spinal AVF, in which a radiculomeningeal artery forms an intradural fistula that drains into the ventral venous plexus. Results: Both patients underwent surgical obliteration of the fistula with complete occlusion confirmed on postoperative angiography. Conclusion: Both cases do not fit into the current classification scheme. A modified classification is proposed.

Key-words:

Arteriovenous - arteriovenous fistulas - classification - fistula - spinal - Type I - venous plexus - ventral


Publication History

Article published online:
14 September 2022

© 2018. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India