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Postsurgical dural supply to the spinal cord arteriovenous malformation in spinal arteriovenous metameric syndrome

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Abstract

Dural supply from the external carotid system in cerebral arteriovenous malformations (AVMs) is well known, but actual angiographic evidence of dural supply to spinal cord AVMs (SCAVMs) has not been reported. Here, we report a case of dural supply to the conus SCAVM in the spinal arteriovenous metameric syndrome segment 25–30. Thirteen years after spinal surgery (T12–L2 laminoplasty), spinal angiography showed multiple dural supplies from the dorsal somatic branches, prelaminar arteries, and radiculomeningeal arteries to the SCAVM at the level of the previous spinal surgery. To the best of our knowledge, this is the first reported case with dural supply to the spinal cord. This case demonstrates that the extradural and extraspinal branches can supply the spinal cord in rare instances of spinal dural adhesions following repeated hemorrhages and surgical intervention under a metameric link background.

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All relevant data supporting the results of the present study are included within the article and can be obtained from the corresponding author on reasonable request.

References

  1. Berenstein A, Lasjaunias P, Brugge KG (2012) Surgical neuroangiography: vol.2: clinical and endovascular treatment aspects in adults. Springer Berlin Heidelberg

  2. Lawton MT, Rutledge WC, Kim H et al (2015) Brain arteriovenous malformations. Nat Rev Dis Primers 1:15008. https://doi.org/10.1038/nrdp.2015.8

    Article  PubMed  Google Scholar 

  3. Honnegowda TM, Kumar P, Udupa EGP et al (2015) Role of angiogenesis and angiogenic factors in acute and chronic wound healing. Plast Aesthet Res 2:243–249. https://doi.org/10.4103/2347-9264.165438

    Article  Google Scholar 

  4. Backes WH, Nijenhuis RJ, Mess WH et al (2008) Magnetic resonance angiography of collateral blood supply to spinal cord in thoracic and thoracoabdominal aortic aneurysm patients. J Vasc Surg 48:261–271. https://doi.org/10.1016/j.jvs.2008.03.015

    Article  PubMed  Google Scholar 

  5. Niimi Y, Uchiyama N, Elijovich L, Berenstein A (2013) Spinal arteriovenous metameric syndrome: clinical manifestations and endovascular management. AJNR Am J Neuroradiol 34:457–463. https://doi.org/10.3174/ajnr.A3212

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Choi IS (2013) Spinal arteriovenous metameric syndrome: angioarchitecture and their prognosis. AJNR Am J Neuroradiol 34:464–465. https://doi.org/10.3174/ajnr.A3318

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Rodesch G, Hurth M, Alvarez H, Tadié M, Lasjaunias P (2002) Classification of spinal cord arteriovenous shunts: proposal for a reappraisal–the Bicêtre experience with 155 consecutive patients treated between 1981 and 1999. Neurosurgery 51:374–9 discussion 379-80

    PubMed  Google Scholar 

  8. Matsumaru Y, Pongpech S, Laothamas J et al (1999) Multifocal and metameric spinal cord arteriovenous malformations. Review of 19 cases. Interv Neuroradiol 5:27–34. https://doi.org/10.1177/159101999900500105

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

We would like to thank our radiological technologist at St. Luke’s International Hospital for the technical assistance. We also thank Editage (www.editage.jp) for English language editing.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Neuroendovascular Therapy, St. Luke’s International Hospital, 9-1 Akashi-Cho, Chuo-Ku, Tokyo, 104-8560, Japan

    Bikei Ryu, Shinsuke Sato & Yasunari Niimi

  2. Department of Neurosurgery, St. Luke’s International Hospital, 9-1 Akashi-Cho, Chuo-Ku, Tokyo, 104-8560, Japan

    Bikei Ryu, Tatsuki Mochizuki, Shogo Shima, Shinsuke Sato & Tatsuya Inoue

  3. Department of Neurosurgery, Tokyo Women’s Medical University, 8-1 Kawada-Cho, Shinjuku-Ku, Tokyo, 162-8666, Japan

    Bikei Ryu, Shinsuke Sato & Takakazu Kawamata

Authors
  1. Bikei Ryu
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  2. Tatsuki Mochizuki
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  3. Shogo Shima
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  4. Shinsuke Sato
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  5. Tatsuya Inoue
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  6. Takakazu Kawamata
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  7. Yasunari Niimi
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Contributions

B.R. and Y.N. initiated the project in this manuscript. B.R. and Y.N. wrote the manuscript. All authors participated the treatment and discussed the results and commented on the paper.

Corresponding author

Correspondence to Bikei Ryu.

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Ethics approval

All procedures performed in this series involving human participants were in accordance with the ethical standards of the institutional research committee (Saint Luke’s International Hospital, No. 21-R014) and the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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The participant has consented to the submission of the case report to the journal.

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Ryu, B., Mochizuki, T., Shima, S. et al. Postsurgical dural supply to the spinal cord arteriovenous malformation in spinal arteriovenous metameric syndrome. Neuroradiology 65, 1073–1076 (2023). https://doi.org/10.1007/s00234-023-03151-8

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  • DOI: https://doi.org/10.1007/s00234-023-03151-8

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