Lalenoh, Diana Christine
(2012)
ANESTHESIA MANAGEMENT IN SPINAL DURAL ARTERIOVENOUS MALFORMATION SURGERY.
COEXISTING DISEASE IN ANESTHESIA NATIONAL SYMPOSIUM BANDUNG JANUARY 2012-PROCEEDING-POSTER SESION.
Abstract
Among the AV malformations involving the spinal cord, the dural AVFs is the most common subtype. It occurs mostly in middle-aged men. Most of the cases are solitary, and multiple lesions are rare. Although the etiology has not been elucidated, the clinical symptoms are characteristic of the progressive spastic paraparesis, the micturition problem, and the numbness of the legs or buttocks. The MRI findings are characteristic of the perimedullary serpiginous flow voids, intramedullary T2 high-intensity signal, and swelling of the spinal cord. Patients will be in a severely disabled condition without proper treatment. There is a general agreement that endovascular embolization and the microsurgery are the treatments of choice. If the selective catheterization or embolization is difficult or failed, then surgical treatment is the choice. Although the microsurgery is safe, simple, and effective, the recovery after the treatment is not always complete.
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