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Journal of Neurology and Neurorehabilitation Research | Volume 4

November 04-05, 2019 | Melbourne, Australia

Neurology and Neurological Disorders

International Conference on

J Neurol Neurorehabil Res, Volume 4

A case involving a giant aberrant Craniocervical Arteriovenous Malformation

Agung Budi Sutiono

Padjadjaran University, Indonesia

Background:

Spinal Cord Arteriovenous Malformations

(SCAVMs) comprise about 3-4% of primary intraspinal masses

and are only rarely found external to the C2-C7 cervical

vertebral foramena.

Case description:

A 21-year-old female presented with

neck pain, and a spastic quadriparesis of 1 year’s duration.

The cervical MRI and 3D CT angiograms documented an

arteriovenous malformation (AVM)/dural artery venous fistula

(dAVF) on the right fed by multiple arteries located in the C1-2

and C5-7 foramena intervertebralis. The patient underwent a

laminectomy at C5-6 where large feeding arteries extending

through the foramena of C5-6, C6-7 were double-clipped.

This allowed for devascularization of the AVM and facilitated

resection, while preserving the aberrant vertebral artery. The

patient was dischargedwithin oneweek. Twomonths later, she

was able to ambulate to the outpatient clinic.

Conclusion:

Double clipping of the two main arterial feeders

at the C5-C6 and C6-C7 levels of this aberrant cervical AVM

was critical to facilitate resection, while carefully preserving

the aberrant vertebral artery itself.