A Rare Case of Cervical Spinal Arteriovenous Malformation : A Case Report

Abstract

Arteriovenous malformation (AVM) is an abnormal connection of vasculature resulting in capillary bed bypassing and leading to neurological deterioration and high risk of bleeding. Intramedullary AVMs in the cervical spinal cord are rare and require precise diagnostics and treatment. We present a clinical case of recurrent AVMs in a 28-year-old Caucasian female with sudden and severe neck pain and variable neurological symptoms along with current diagnostic and treatment modalities. Conservative treatment was partially effective. MRI and DSA confirmed AVMs at C4 level with subsequent several endovascular treatment sessions at the age of 15 and 24 with mild neurological improvement. Afterwards the patient underwent rehabilitation with minor neurological improvement. This case highlights the clinical progression and treatment of AVMs along with showcasing current pathophysiology, classification, and imaging.

Description

Publisher Copyright: © 2024 by the authors.

Keywords

arteriovenous malformation surgery, cervical embolization, neurovascular disease, spinal arteriovenous malformation, 3.2 Clinical medicine, 1.1. Scientific article indexed in Web of Science and/or Scopus database, General Medicine

Citation

Ošiņa, J, Jurjāns, K, Kupčs, K, Rzajeva, T & Miglāne, E 2024, 'A Rare Case of Cervical Spinal Arteriovenous Malformation : A Case Report', Medicina (Lithuania), vol. 60, no. 6, 1011. https://doi.org/10.3390/medicina60061011