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Case report
Republished: Spinal arteriovenous malformation without endovascular arterial access: is a combined neurosurgical approach and direct venous puncture an option?
  1. Igor Pagiola1,2,
  2. Jildaz Caroff1,
  3. Cristian Mihalea1,
  4. Nozar Aghakhani3,
  5. Léon Ikka1,
  6. Vanessa Chalumeau1,
  7. Marta Iacobucci1,
  8. Augustin Ozanne1,
  9. Sophie Gallas1,
  10. Henrique Carrete4,
  11. Marcio Chaves Marques2,
  12. Darcio Nalli2,
  13. Jose Guilherme Caldas5,
  14. Michel Eli Frudit2,
  15. Jacques Moret1,
  16. Fabrice Parker3,
  17. Laurent Spelle1
  1. 1 NEURI, Hôpital Bicêtre, Le Kremlin-Bicêtre, France
  2. 2 Neurorradiologia Intervencionista, UNIFESP, Escola Paulista de Medicina, São Paulo, Brazil
  3. 3 Neurosurgery, Hôpital Bicêtre, Le Kremlin-Bicêtre, France
  4. 4 DDI, Universidade Federal de Sao Paulo Escola Paulista de Medicina, Sao Paulo, Brazil
  5. 5 Neurorradiologia Intervencionista, USP, São Paulo, Brazil
  1. Correspondence to Dr Igor Pagiola; igorpagiola{at}


This case report describes a combined neurosurgical and endovascular approach for the treatment of a conus medullaris arteriovenous malformation resulting in considerable improvement in the patient’s neurological condition (modified Rankin Scale score 2).

  • arteriovenous malformation
  • liquid embolic material
  • spinal cord
  • spine
  • technique

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  • Contributors All authors have read and approved the submitted manuscript; the manuscript has not been published elsewhere in whole or in part. All the authors contributed to all of the following areas: (1) conception and design, or acquisition of data, or analysis and interpretation of data; (2) drafting the article or revising it critically for important intellectual content; (3) final approval of the version to be published; (4) agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; and (5) statement regarding IRB/ethics committee approval: our institutional review board approved this retrospective study. Individual patient consent was not required as data were collected in an anonymised manner and there was no risk to patients.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

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