Challenging dogma: Report of a spinal cord arteriovenous malformation as an acquired lesion in a pediatric patient

Waleed Brinjikji, Edward S. Ahn, Marc C. Patterson, Giuseppe Lanzino

Research output: Contribution to journalArticlepeer-review

Abstract

Spinal cord intramedullary arteriovenous malformations (AVMs) have classically been considered congenital lesions that are present from birth. The reason for this dogmatic principal is the fact that a vast majority of these lesions present in pediatric and young adult patients. Interestingly, while many authors have demonstrated the development of de novo nidus-type brain AVMs, there have been no reported cases of a de novo intramedullary or perimedullary AVM of the spine. In this paper the authors describe what they believe to be the first reported case of a de novo AVM of the spinal cord in a young patient who underwent serial imaging from birth for evaluation of a syrinx. Potential pathophysiological mechanisms for the development of de novo vascular malformations of the spinal cord are discussed.

Original languageEnglish (US)
Pages (from-to)302-304
Number of pages3
JournalJournal of Neurosurgery: Spine
Volume32
Issue number2
DOIs
StatePublished - Jan 1 2020

Keywords

  • Cervical spine
  • Congenital
  • Pediatric
  • Spinal angiography
  • Spinal vascular malformation
  • Vascular disorders

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology

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