Endovascular treatment of spinal vascular diseases: two case reports

DOI
  • Matsumoto Hiroaki
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida Hospital
  • Matsumoto Atsushi
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida Hospital
  • Miyata Siro
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida Hospital
  • Tomogane Yusuke
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida Hospital
  • Minami Hiroaki
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida Hospital
  • Masuda Atsushi
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida Hospital
  • Yamaura Ikuya
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida Hospital
  • Yoshida Yasuhisa
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida Hospital

Bibliographic Information

Other Title
  • 血管内治療が有効であった脊髄血管病変の2例

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Abstract

<p>Introduction: Endovascular treatment for cerebrospinal vascular diseases has recently advanced. Herein, we present two cases of spinal vascular disease successfully treated using endovascular treatment.</p><p>Case report: Case 1 involved a cervical spinal dural arteriovenous fistula that caused an intracranial subarachnoid haemorrhage. A liquid embolic agent was used to perform endovascular embolisation of the fistula. During a 5-year follow-up, the patient's spinal dural arteriovenous fistula disappeared with no recurrence. Case 2 involved an extracranial vertebral artery dissection that caused right C5 radiculopathy. A flow-diverter stent was used for endovascular treatment. The C5 radiculopathy improved rapidly.</p><p>Conclusion: Endovascular treatment for spinal vascular diseases is efficacious and, in some cases, less invasive than open surgery. Immediate preoperative vascular investigation and surgical planning are essential for successful treatment.</p>

Journal

  • Journal of Spine Research

    Journal of Spine Research 14 (7), 1061-1066, 2023-07-20

    The Japanese Society for Spine Surgery and Related Research

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