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SNIS 9th annual meeting electronic poster abstracts
E-057 Embolization of a spinal dural AV fistula after super selective WADA test spinal AV fistula presenting as foot drop
  1. V Nduku1,
  2. S Barrer2,
  3. Q Shah2,
  4. O Kozak3,
  5. M Yoon1,
  6. R Meagher1,
  7. J Gopez4
  1. 1Neurosciences Institute, Abington Memorial Hospital, Abington, Pennsylvania, USA
  2. 2Neurointerventional and Neurocritical Care, Abington Memorial Hospital, Abington, Pennsylvania, USA
  3. 3Neurointerventional Care, Neurosciences, Abington Memorial Hospital, Abington, Pennsylvania, USA
  4. 4Department of Neurosurgery, Abington Memorial Hospital, Abington, Pennsylvania, USA

Abstract

Spinal arteriovenous malformations are uncommon lesions that present with a constellation of nonspecific symptoms eluding most clinicians. They comprise 3%–16% of all compressive spinal cord lesions and are attributed to 30% of idiopathic myelopathies. They are most often diagnosed on imaging by a neuroradiologist. They can present with symptoms of myelopathy and radiculopathy mimicking a plethora of pathologies. We report the case of a 79-year-old female who presented with back pain and a left foot drop. MRI suggested edema in the conus medullaris and a spinal angiogram revealed serpiginous enhancement from T11-L1 consistent with a type I AVM (Dural AV fistula). She eventually underwent successful embolization after a super selective WADA test with complete occlusion of the Spinal AV fistula.

Competing interests None.

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