AJDRAJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology
DOI 10.3174/ajnr.A1780

SPINE

Spinal Intraosseous Arteriovenous Fistula in the Fractured Vertebral Body

Y.J. Jin, S.K. Chung, O.K. Kwon and H.J. Kim

From the Department of Neurosurgery, Seoul National University College of Medicine, Seoul, South Korea; and Clinical Neuroscience Center, Seoul National University Bundang Hospital, Seongnam, South Korea.

Please address correspondence to Sang Ki Chung, MD, PhD, Seoul National University College of Medicine, Clinical Neuroscience Center, Seoul Nation University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam-si, Gyeonggi-do 463–707, South Korea; e-mail: skcsnubh{at}gmail.com

SUMMARY: A 68-year-old woman presenting with progressive paraparesis was diagnosed with an AVF involving a previously fractured L1 vertebral body on which feeders from multiple segmental arteries converged. The most distinctive feature in our patient was that the fistula was located in the vertebral body. Transarterial embolization of the segmental arteries with coils and glue resulted in total obliteration of the fistula, which in turn resulted in symptom improvement.

Abbreviations: AVF, arteriovenous fistula






Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X