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Chinese Journal of Neurotraumatic Surgery(Electronic Edition) ›› 2016, Vol. 02 ›› Issue (02): 94-96. doi: 10.3877/cma.j.issn.2095-9141.2016.02.008

Special Issue:

• Short Article • Previous Articles     Next Articles

The analysis of clinical diagnosis and microsurgical treatment for spinal dural arteriovenous fistula

Kai Wang1,(), Gongjing Yin1   

  1. 1. Department of Neurosurgery, PingMeiShenMa Medical Group General Hospital, Pingdingshan 467099, China
  • Received:2015-12-18 Online:2016-04-15 Published:2016-04-15
  • Contact: Kai Wang
  • About author:
    Corresponding author: Wang Kai, Email:

Abstract:

Objective

To analysis and summary Clinical diagnosis and microsurgical treatment of spinl dural arteriovenous fistula.

Methods

8 patients were diagnosed spinl dural arteriovenous fistula (SDAVF) and given microsurgery resection in our hospital from January 2010 to January 2014. we summarized the clinical experience of diagnosis and treatment from the clinical symptoms, imaging data and microsurgery resection treatment effect.

Results

All patients with SDAVF were given arteriovenous fistula microsurgery resection by the approach of semi-lamina. Postoperative spinal angiography showed abnormal fistulas and shadows of gross draining veins disappeared. 24 months of follow-up, 5 cases recovered, 2 cases improved, the effective rate was 87.5%.

Conclusion

MRI is the noninvasive method for SDAVF, spinal angiography is the gold standard for definite diagnosis. The microsurgery method treatment is simple and effective, and it can be used as the preferred method for the treatment of SDAVF.

Key words: Spinal dural arteriovenous fistula, Spinal angiography, Microsurgery resection

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