Treatment strategy of spinal arteriovenous malformations based on a simple classification

Y Kikuchi; K Miyasaka

doi:10.1016/s0967-5868(98)90004-2

Treatment strategy of spinal arteriovenous malformations based on a simple classification

J Clin Neurosci. 1998 Mar:5 Suppl:16-9. doi: 10.1016/s0967-5868(98)90004-2.

Authors

Y Kikuchi¹, K Miyasaka

Affiliation

¹ Department of Radiology, Hokkaido University School of Medicine, Kika 15 Nishi 7, Kita-Ku, Sapporo 060, Japan.

PMID: 18639093
DOI: 10.1016/s0967-5868(98)90004-2

Abstract

We propose a treatment strategy of the spinal arteriovenous malformation (AVM) based on a simple classification. This classification includes three types: dural arteriovenous fistula (AVF), perimedullary AVF and intramedullary AVM. Dural AVF has its shunt at the dura and can be treated with either surgery or embolization with liquid adhesive. Perimedullary AVF has shunt on the spinal cord surface and it can be subcategorized into types 1-3 depending on the size of vascular pedicles. Types 1 and 2 are treated with surgery, type 3 by balloon or coil embolization. Intramedullary AVM has its nidus in the cord and is difficult to treat either by surgery or endovascular technique.