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Article Abstract
Rationale: Spinal dural arteriovenous fistulas (SDAVFs) are acquired arteriovenous shunts that occurs in the layers of the dura. Double-level SDAVFs with multiple draining veins are extremely rare. We present a rare case of double-level SDAVFs with multiple draining veins which was successfully managed in our hybrid theater.
Patient Concerns: A 54-year-old male presented with 6-week progressive bilateral lower extremity paresis accompanied by urinary incontinence.
Diagnoses: Selective spinal angiography revealed multiple DAVFs at T6 and T9.
Interventions: Surgery was performed in our hybrid operating room because of complexity of both fistulas. Intraoperatively, angiography was performed to identify the SDAVFs prior to electrocoagulation and removed.
Outcomes: The patient recovered with no further neurological deficits and 2 years follow-up revealed the patent is well and go about his daily duties.
Lessons: Intraoperative angiography is very helpful in identify the SDAVFs prior to electrocoagulation and removed.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12338134 | PMC |
| http://dx.doi.org/10.1097/MD.0000000000043853 | DOI Listing |
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