MANAGEMENT OF SPINAL DURAL ARTERIOVENOUS FISTULA, A REVIEW WITH ONE CASE REPORT
Mohamed El Husseini@, Hussein Mouawia#, Adnan Mrad$ & Taghrid Chaaban* @MD, PhD, Neurosurgeon, Hôpital Libano Français, Zahle, Lebanon. #Director, Lebanese University, 4th Branch, Lebanon. $Dean, Islamic University of Beirut. *Vice dean, Islamic University of Beirut, Lebanon.
Abstract Spinal dural arteriovenous fistulas (SDAVFs) are rare acquired vascular malformations of the spinal cord which if not treated properly, can lead to inevitable severe morbidity with progressive spinal cord symptoms. The management is still at high interest among specialists. If microsurgical treatment is still considered as a treatment of choice for SDAVFs, endovascular treatment is increasingly growing in interest with the development of endovascular techniques and new embolization materials. In this article, a short discussion is made about the spinal dural arteriovenous fistulae in respect to anatomy, etiology, diagnosis and treatment. Careful patient selection, a multidisciplinary approach and standardized surgical techniques can lead to excellent results with virtually no complications.