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자료유형
학술저널
저자정보
Daewon Park (Department of Neurosurgery Kyungpook National University Hospital School of Medicine) Donghan Kim (ParkWeonWook Hospital Busan Korea.) Dong-Hun Kang (Department of Neurosurgery Kyungpook National University HospitalDaegu Korea) Subum Lee (Department of Neurosurgery Kyungpook National University Hospital) Dae-Chul Cho (Department of Neurosurgery Kyungpook National University Hospital)
저널정보
대한신경손상학회 Korean Journal of Neurotrauma Korean Journal of Neurotrauma Vol.18 No.1
발행연도
2022.4
수록면
145 - 149 (5page)
DOI
https://doi.org/10.13004/kjnt.2022.18.e11

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초록· 키워드

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Spinal epidural arteriovenous fistula (SEDAVF) is a rare vascular malformation. Due to the mass effect of enlarged epidural veins and venous hypertension, progressive radiculopathy and myelopathy are likely to occur. A 33-year-old female presented with right upper extremity weakness for a month. The cause of this symptom was a SEDAVF, which was located near the C5-6-7 foramens and compressed the nerve roots. In the absence of intradural venous drainage, endovascular treatment is often difficult because of the large venous pouch. We performed endovascular trapping of the vertebral artery (VA) and loose packing of the coil material on the AVF to minimize mass effects. Immediately after embolization, the fistula was occluded, but a small new feeder vessel developed a day later. An n-butyl cyanoacrylate embolization was performed, and the fistula was successfully occluded.

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