Microneurosurgery for Spinal Dural Arteriovenous Fistula- Operative Video.
Neurol India
; 70(1): 54-56, 2022.
Article
en En
| MEDLINE
| ID: mdl-35263853
ABSTRACT
Background and Introduction:
Spinal dural arteriovenous fistula (SDAVF) is a rare but curable condition. Microsurgery is a highly effective and readily affordable treatment modality.Objective:
We present a surgical video of SDAVF to demonstrate the operative nuances involved. Surgical Technique A 53-year-old wheelchair-bound man with spastic paraparesis for 1.5 years was found to have a SDAVF at L1/2 level with a single fistula point. During surgery, a L1-L2 laminectomy and durotomy revealed a dilated vein accompanying the nerve root exiting L1/2 foramen that showed early filling on indocyanine green (ICG) video angiography. This vein was occluded, and a segment of this vein was removed during surgery, which led to resumption of normal spinal cord perfusion.Results:
The patient showed gradual recovery of lower limb motor power and improved to assisted ambulation after 3 months.Conclusions:
Surgery is a simple, effective, and cost-effective treatment option in SDAVF.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Procedimientos Neuroquirúrgicos
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Malformaciones Vasculares del Sistema Nervioso Central
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Microcirugia
Límite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Neurol India
Año:
2022
Tipo del documento:
Article
País de afiliación:
India