Article Text

other Versions

PDF
Improved neurological function in a paediatric patient following Onyx embolization of a cervical glomus arteriovenous malformation
  1. Gene Kitamura1,
  2. J Paul Jacobson2,
  3. Alexander Zouros3,
  4. Holly Neglio2
  1. 1School of Medicine, Loma Linda University, Loma Linda, USA
  2. 2Department of Radiology, Loma Linda University Medical Center, Loma Linda, USA
  3. 3Department of Neurosurgery, Loma Linda University Medical Center, Loma Linda, USA
  1. Correspondence to J Paul Jacobson, Department of Radiology, Loma Linda University Medical Center, 11234 Anderson Street, B623, Loma Linda, CA 92354, USA; pjacobson{at}llu.edu

Abstract

Spinal cord intramedullary arteriovenous malformations (AVMs) pose a therapeutic challenge. Because of their complex angioanatomy, surgical excision of these lesions is difficult at best. Over the past decade, endovascular therapy has been established as an alternative treatment modality. As an embolic agent, N-butyl cyanoacrylate (NBCA) posed several problems such as difficulty of use and unpredictable performance. Onyx (ev3, Irvine, California, USA), an alternative liquid embolic agent, possesses several advantageous properties, such as increased control of agent delivery, over previous embolic agents like NBCA. However, reports of Onyx use in treating spinal intramedullary AVMs are still rare, especially in paediatric patients. We report a paediatric patient with glomus-type spinal intramedullary AVM treated successfully with Onyx with intermediate-term outcome.

  • Arteriovenous malformation
  • spine
  • onyx
  • embolization
  • angiography
  • spinal cord
  • embolic
  • malformation
  • intervention
  • pediatrics

Statistics from Altmetric.com

Footnotes

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.