Two pediatric observations of spinal extradural arteriovenous fistulas presenting with epidural hemorrhages and cord compression.
Alessandra RigamontiPhilippe GailloudPublished in: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery (2023)
We report two cases of acute spinal cord compression in children with low-flow spinal epidural arteriovenous fistulas (SEAVFs) and discuss the clinical presentation and management of these vascular anomalies. While most low-flow SEAVFs without radiculomedullary drainage are benign lesions typically diagnosed incidentally, we suggest that asymptomatic lesions may warrant aggressive management in specific circumstances, including lesions diagnosed at an early age or in patients under anticoagulation therapy. Our observations also emphasize that patients with a "spontaneous" epidural hemorrhage should undergo dedicated preoperative or postoperative vascular imaging to identify a possible underlying vascular anomaly.
Keyphrases
- spinal cord
- neuropathic pain
- spinal cord injury
- end stage renal disease
- patients undergoing
- chronic kidney disease
- newly diagnosed
- liver failure
- high resolution
- prognostic factors
- atrial fibrillation
- stem cells
- peritoneal dialysis
- young adults
- drug induced
- photodynamic therapy
- cell therapy
- acute respiratory distress syndrome
- bone marrow
- case report
- hepatitis b virus
- fluorescence imaging