Summary
The authors report a new case of intraspinal extra-medullary meningeal arteriovenous fistula draining through medullary veins. Discovered in a 33-year-old black man suffering from a cauda equina syndrome, this malformation suspected in myelography was confirmed by a selective angiographic procedure of both internal iliac arteries. This investigation specified the sacral site of the fistula as well as its feeding arteries from several branches of the left and right internal iliac arteries and its posterior and intra-meningeal venous medullary drainage. An embolization procedure followed by a surgical approach and a second embolization session brought a fair improvement to this young patient who could walk again. The acquired traumatic origin of the fistula is discussed for this patient who had been previously operated at his L5-S1 level.
Similar content being viewed by others
References
Aboulker J, Bar D, Marsault D, Khouadja K, Recondo A, Garel L, Nahum H (1977) L'hypertension veineuse intra-rachidienne par anomalies mutiples du système cave. Une cause majeure de souffrance médullaire. Chirurgie 103:1003–1015
Djindjian M (1970) Les malformations artério-veineuses de la moelle épinière et leur traitement. A propos de 150 cas. Thèse médecine, Paris
Djindjian R (1970) L'angiographie de la moelle épinière. Masson, Paris
Heindel C, Dugger GS, Guinio FC (1975) Spinal arteriovenous malformation with hypogastric blood supply. Neurosurgery 42:462–464
Kendall BE, Logue V (1977) Spinal epidural angiomatous malformations draining into intrathecal veins. Neuroradiology 13: 181–189
Launay M, Chiras J, Bories J (1979) Angiographie médullaire: temps veineux. J Neuroradiol 6:287–315
Symon L, Kuyama H, Kendall B (1984) Dural AVM of the spine. J Neurosurg 60:238–247
Merland J-J, Riche MC, Chiras J (1980) Intraspinal extramedullary arteriovenous fistulae draining into medullary veins. J Neuroradiol 7:271–320
Stein SC, Ommaya AK, Doppman J-L, Di Cheiro G (1972) Arterio-venous malformation of the cauda equina with arterial supply from branches of the internal iliac arteries. J Neurosurg 36:649–651
Sugiyama Y, Kondo H, Tabane Y, Sakai N, Yamada H, Ikeda K (1982) Arteriovenous malformation of the spinal cord and cauda equina fed by branches of the internal iliac artery and associated with vertebral hemangiomas. Surg Neurol 18: 97–101
Takahashi H, Jooshita H, Saito I, Sano S, Akagi Y (1977) Spinal arterio-venous malformation fed by branches of the internal iliac artery. No Shinkei Geka 5:285–289
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Burguet, J.L., Dietemann, J.L., Wackenheim, A. et al. Sacral meningeal arteriovenous fistula fed by branches of the hypogastric arteries and drained through medullary veins. Neuroradiology 27, 232–237 (1985). https://doi.org/10.1007/BF00344494
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00344494