Management of spinal dural arterio venous fistula with peri-medullar drainage Experience of a north-African centre

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Assoumane Ibrahim
Loucif Houari
Sanoussi Samuila
Sidi Said Abderahmane
Abdelhalim Morsli

Abstract

Introduction: Spinal Dural Arterio Venous Fistula (SDAVF) is an arteriovenous communication on the spinal dura with peri-medullar venous drainage. It is a curable cause of myelopathy and the most common form of spinal arterio venous malformation (AVM). The average age of revelation is the fifth decade; it is a diagnostic and therapeutic emergency.


Materials and methods: This is a retrospective study conducted in the neuro surgical department of CHU Bab El Oued in Algiers during a five years time from November 2013 to September 2018. We assessed the clinical status of patients according to the Aminoff-Logue disability score before and after surgery. All patients did a total spine MRI followed by a Medullar angiography which facilitated the pin-pointing of the exact location of the dural fistula. The mean follow-up is 30 months.


Results: There were five males and two females, all of them older than 45 years of age. At the admission, patients presented with signs of neurological deficits. After the diagnosis of SDAVF the surgical intervention consisted of a disconnection of the arteriovenous communication by coagulation and section of the fistula at the foot of the vein after a laminectomy. Functional rehabilitation was prescribed for all patients and they were regularly followed-up.


Conclusion: Treatment of AVF is surgical or endovascular. Results depend largely on preoperative neurological status.

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How to Cite
Ibrahim, A., Houari, L., Samuila, S., Abderahmane, S., & Morsli, A. (2019). Management of spinal dural arterio venous fistula with peri-medullar drainage. Romanian Neurosurgery, 33(4), 486-491. https://doi.org/10.33962/roneuro-2019-078
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Author Biographies

Assoumane Ibrahim

1. Department of Neurosurgery, CHU Bab El Oued, Algiers, Algeria

2. Department of Neurosurgery, Maradi Reference Hospital, Niger Republic

Loucif Houari

Department of Neurosurgery, CHU Bab El Oued, Algiers, Algeria

Sanoussi Samuila

Department of Neurosurgery, Niamey National Hospital, Niger Republic

Sidi Said Abderahmane

Department of Neurosurgery, CHU Bab El Oued, Algiers, Algeria

Abdelhalim Morsli

Department of Neurosurgery, CHU Bab El Oued, Algiers, Algeria