Clipping of spinal arteriovenous fistula of the filum terminale under intraoperative angiography guidance

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Spinal arteriovenous fistulas of the filum terminale.

The filum terminale is an anatomic structure at the end of the spinal cord. Only a few cases of AVFs of the filum terminale have been reported. These AVFs usually consist of a single communication between the anterior spinal artery and a single draining vein. We retrospectively analyzed the clinical and radiologic features and treatment of 4 patients with spinal AVFs of the filum terminale. Cli...

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Arteriovenous Fistula of the Filum Terminale Misdiagnosed and Previously Operated as Lower Lumbar Degenerative Disease

Filum terminale arteriovenous fistula (FTAVF) presenting as a cause of failed back surgery syndrome is a rare entity. We report a 48-year-old male patient who presented with clinical features of a conus medullaris/cauda equina lesion. He had upper and lower motor neuron signs in both the lower limbs with autonomic dysfunction. The patient was misdiagnosed and was operated twice earlier for lumb...

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Intraoperative angiography for cranial dural arteriovenous fistula.

BACKGROUND AND PURPOSE IA is a valuable adjunct during surgery for a variety of neurovascular diseases; however, there are no reported series describing IA for DAVFs. This study was undertaken to evaluate the safety and efficacy of IA for DAVFs. MATERIALS AND METHODS A retrospective review of DAVF surgical cases during a 20-year period was conducted, and cases with IA were evaluated. Clinical...

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The Failure of Operation for Spinal Dural Arteriovenous Fistula Demonstrated by Intraoperative Indocyanine Green Video- Angiography

Our objective was to both describe and show (via video) the use of intraoperative indocyanine green (ICG) video-angiography for obliteration of a spinal dural arteriovenous fistula (DAVF). ICG video-angiography is an emerging tool for delineating intraoperative vascular anatomy with significant potential in the treatment of vascular diseases in the spine. The authors presented the case of a 49-...

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Mature spinal teratoma associated with thickened filum terminale.

A 30-year-old man presented with an intradural spinal teratoma with thickened filum terminale manifesting as urinary and sexual disturbances, and low back pain persisting for 4 years. Spinal magnetic resonance imaging revealed thickened filum terminale containing a heterogeneously enhanced intradural lesion extending from the L-3 to L-4 levels and in contact with the conus medullaris. The filum...

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ژورنال

عنوان ژورنال: Formosan Journal of Surgery

سال: 2019

ISSN: 1682-606X

DOI: 10.4103/fjs.fjs_36_19