SPINAL DURAL ARTERIOVENOUS FISTULA: CLINICAL CASE AND LITERATURE REVIEW
Spinal dural arteriovenous fistula (SDAVF) is a rare disease, however, with nonspecific initial symptoms, like back pain, parestesias, gait imbalance, weakness and numbness in extremities. Para- or tetraparesis, disturbance of deep sensation and pelvic organs functions may develop during the course...
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| Format: | Article |
| Language: | Russian |
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Academician I.P. Pavlov First St. Petersburg State Medical University
2018-06-01
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| Series: | Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова |
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| Online Access: | https://www.sci-notes.ru/jour/article/view/510 |
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| author | R. A. Gapeshin A. A. Yakovlev A. G. Smochilin A. V. Gavrichenko M. S. Pushkaryov |
| author_facet | R. A. Gapeshin A. A. Yakovlev A. G. Smochilin A. V. Gavrichenko M. S. Pushkaryov |
| author_sort | R. A. Gapeshin |
| collection | DOAJ |
| description | Spinal dural arteriovenous fistula (SDAVF) is a rare disease, however, with nonspecific initial symptoms, like back pain, parestesias, gait imbalance, weakness and numbness in extremities. Para- or tetraparesis, disturbance of deep sensation and pelvic organs functions may develop during the course of disease. There isn’t any specific laboratory tests. So, the diagnostics of dural fistulas is complex. The main screening method is magnetic resonance tomography (MRI), which may suspect or reveal dural fistula. Spinal angiography is a «golden standard» in diagnostics. Options of treatment include microsurgical separation or endovascular embolisation of fistula. The article presents a clinical case of SDAVF in thoracic region of spine. Related to complains, neurological exam and MRI data, the vascular mass was suspected and spinal angiography was per-formed to confirm the presence of SDAVF. After surgical treatment the patient was observed to rehabilitation course, which had improved his status. In sum, appropriate diagnostics, surgical intervention and rehabilitation are the main factors related to successful treatment of patients with SDAVF. |
| first_indexed | 2024-03-12T03:06:53Z |
| format | Article |
| id | doaj.art-3362bbd4952b47b180cf4ad4a91e3a5c |
| institution | Directory Open Access Journal |
| issn | 1607-4181 2541-8807 |
| language | Russian |
| last_indexed | 2025-03-14T09:21:51Z |
| publishDate | 2018-06-01 |
| publisher | Academician I.P. Pavlov First St. Petersburg State Medical University |
| record_format | Article |
| series | Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова |
| spelling | doaj.art-3362bbd4952b47b180cf4ad4a91e3a5c2025-03-02T11:44:14ZrusAcademician I.P. Pavlov First St. Petersburg State Medical UniversityУчёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова1607-41812541-88072018-06-01252758210.24884/1607-4181-2018-25-2-75-82389SPINAL DURAL ARTERIOVENOUS FISTULA: CLINICAL CASE AND LITERATURE REVIEWR. A. Gapeshin0A. A. Yakovlev1A. G. Smochilin2A. V. Gavrichenko3M. S. Pushkaryov4Pavlov UniversityPavlov University; Federal State Budgetary Educational Institution of Higher Education «North-Western State Medical University named after I. I. Mechnikov»Pavlov University; Federal State Budgetary Educational Institution of Higher Education «Saint-Petersburg State University»Pavlov UniversityFederal State Budgetary Educational Institution of Higher Education «Saint-Petersburg State University»Spinal dural arteriovenous fistula (SDAVF) is a rare disease, however, with nonspecific initial symptoms, like back pain, parestesias, gait imbalance, weakness and numbness in extremities. Para- or tetraparesis, disturbance of deep sensation and pelvic organs functions may develop during the course of disease. There isn’t any specific laboratory tests. So, the diagnostics of dural fistulas is complex. The main screening method is magnetic resonance tomography (MRI), which may suspect or reveal dural fistula. Spinal angiography is a «golden standard» in diagnostics. Options of treatment include microsurgical separation or endovascular embolisation of fistula. The article presents a clinical case of SDAVF in thoracic region of spine. Related to complains, neurological exam and MRI data, the vascular mass was suspected and spinal angiography was per-formed to confirm the presence of SDAVF. After surgical treatment the patient was observed to rehabilitation course, which had improved his status. In sum, appropriate diagnostics, surgical intervention and rehabilitation are the main factors related to successful treatment of patients with SDAVF.https://www.sci-notes.ru/jour/article/view/510spinal dural arteriovenous fistulaspinal angiographymyelopathymagnetic resonance tomographymicrosurgeryendovascular embolisationrehabilitation |
| spellingShingle | R. A. Gapeshin A. A. Yakovlev A. G. Smochilin A. V. Gavrichenko M. S. Pushkaryov SPINAL DURAL ARTERIOVENOUS FISTULA: CLINICAL CASE AND LITERATURE REVIEW Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова spinal dural arteriovenous fistula spinal angiography myelopathy magnetic resonance tomography microsurgery endovascular embolisation rehabilitation |
| title | SPINAL DURAL ARTERIOVENOUS FISTULA: CLINICAL CASE AND LITERATURE REVIEW |
| title_full | SPINAL DURAL ARTERIOVENOUS FISTULA: CLINICAL CASE AND LITERATURE REVIEW |
| title_fullStr | SPINAL DURAL ARTERIOVENOUS FISTULA: CLINICAL CASE AND LITERATURE REVIEW |
| title_full_unstemmed | SPINAL DURAL ARTERIOVENOUS FISTULA: CLINICAL CASE AND LITERATURE REVIEW |
| title_short | SPINAL DURAL ARTERIOVENOUS FISTULA: CLINICAL CASE AND LITERATURE REVIEW |
| title_sort | spinal dural arteriovenous fistula clinical case and literature review |
| topic | spinal dural arteriovenous fistula spinal angiography myelopathy magnetic resonance tomography microsurgery endovascular embolisation rehabilitation |
| url | https://www.sci-notes.ru/jour/article/view/510 |
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