Primary conus medullaris arteriovenous shunt and secondary lumbo-sacral epidural arteriovenous fistula: One malformation can hide another.

Conus medullaris Endovascular embolization MRI Pial arteriovenous fistulas Spinal cord arteriovenous shunts Spinal dural arteriovenous fistulas

Journal

Journal of neuroradiology = Journal de neuroradiologie
ISSN: 0150-9861
Titre abrégé: J Neuroradiol
Pays: France
ID NLM: 7705086

Informations de publication

Date de publication:
Feb 2021
Historique:
received: 01 05 2019
revised: 06 07 2019
accepted: 08 07 2019
pubmed: 20 7 2019
medline: 26 11 2021
entrez: 20 7 2019
Statut: ppublish

Résumé

We report an anatomical-based association between conus medullaris pial arteriovenous shunt that drain caudally towards the lumbosacral area with very delayed onset of an acquired lumbar epidural shunt, draining secondarily towards intradural veins and responsible for a venous congestive myelopathy with identical clinical symptoms. These patients require close clinical and imaging follow-ups in order to propose adequate treatments before onset of irreversible neurological deficits. MRA should include the lumbo-sacral area in its field of view.

Identifiants

pubmed: 31323304
pii: S0150-9861(19)30266-4
doi: 10.1016/j.neurad.2019.07.004
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

16-20

Informations de copyright

Copyright © 2019 Elsevier Masson SAS. All rights reserved.

Auteurs

Alexis Guédon (A)

Department of diagnostic and therapeutic neuroradiology, hopital Foch, Suresnes, Hauts-de-Seine, France. Electronic address: alexisguedon@live.fr.

Stéphanie Condette-Auliac (S)

Department of diagnostic and therapeutic neuroradiology, hopital Foch, Suresnes, Hauts-de-Seine, France. Electronic address: s.auliac@hopital-foch.org.

Arturo Consoli (A)

Department of diagnostic and therapeutic neuroradiology, hopital Foch, Suresnes, Hauts-de-Seine, France. Electronic address: a.consoli@hopital-foch.com.

Federico Di Maria (F)

Department of diagnostic and therapeutic neuroradiology, hopital Foch, Suresnes, Hauts-de-Seine, France. Electronic address: f.di-maria@hopital-foch.com.

Oguzhan Coskun (O)

Department of diagnostic and therapeutic neuroradiology, hopital Foch, Suresnes, Hauts-de-Seine, France. Electronic address: o.coskun@hopital-foch.org.

Georges Rodesch (G)

Department of diagnostic and therapeutic neuroradiology, hopital Foch, Suresnes, Hauts-de-Seine, France. Electronic address: g.rodesch@hopital-foch.org.

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Classifications MeSH