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 journalArticle

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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