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Resultados a largo plazo del tratamiento quirúrgico de las fístulas arteriovenosas durales espinales en un centro argentino

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dc.contributor.author Mormandi, Rubén
dc.contributor.author Villamil, Facundo
dc.contributor.author Ruella, Mauro
dc.contributor.author Cervio, Andrés Eduardo
dc.contributor.author Condomí Alcorta, Santiago G.
dc.contributor.author Salvat, Jorge M.
dc.date.accessioned 2024-07-08T16:47:29Z
dc.date.available 2024-07-08T16:47:29Z
dc.date.issued 2023-04
dc.identifier.citation Mormandi, R., Villamil, F., Ruella, M., Cervio, A., Alcorta, S., Salvat, J., 2023. Resultados a largo plazo del tratamiento quirúrgico de las fístulas arteriovenosas durales espinales en un centro argentino. Medicina 83, marzo-abril, 264–272. es_ES
dc.identifier.uri https://www.medicinabuenosaires.com/indices-de-2020/volumen-83-ano-2023-n2/
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/1143
dc.description.abstract Introduction: Spinal dural arteriovenous fistula (SDAVF) is a rare vascular disease, of unknown etiology, frequently underdiagnosed. Treatment can be microsurgical or endovascular. Methods: Retrospective and monocentric analysis of 12 SDAVF patients treated by microsurgery between 2010 and 2021. Parameters including age, sex, pre and postoperative clinical condition were analyzed according to modified Aminoff-Logue and Rankin scales. Diagnostic studies such as magnetic resonance imaging (MRI), magnetic resonance angiogram (MRA) and spinal digital subtraction angiography (DSA), were evaluated for lesion level, as were surgical results. Results: Twelve patients (10 men and 2 women), average age: 60 years, were operated. The interval from symptom onset to diagnosis was < 12 months in all cases except one (32 months). SDAVF locations were thoracic in 8 cases, between T6 and T12, 3 at lumbar spine (L1-L2) and at S1 in one case, with no difference regarding side. The Adamkiewicz artery was identified in 5 cases at L1, 2 at D12, 2 at D10, 2 at D9 and 1 at D7 (7 left-sided and 5 right-sided). Three of the 12 patients operated had undergone prior embolization. Postoperative neurological outcomes showed: 2 patients remained stable and 10 improved one or more points on the mRs; no postoperative complications were observed. Follow-up MRI images improved in all cases and spinal DSA was negative at 6 months. Average follow-up was 40 months (range 6 to 122) and no patient presented recurrence. Conclusion: Microsurgical treatment of SDAVF proved to be efficient, with low morbidity and lower recurrence rates compared to endovascular results. es_ES
dc.language.iso spa es_ES
dc.publisher Fundación Revista Medicina es_ES
dc.rights info:eu-repo/semantics/openAccess
dc.subject Central Nervous System Vascular Malformations es_ES
dc.subject Malformaciones Vasculares del Sistema Nervioso Central es_ES
dc.subject Embolization, Therapeutic es_ES
dc.subject Embolización Terapéutica es_ES
dc.subject Magnetic Resonance Imaging es_ES
dc.subject Imagen por Resonancia Magnética es_ES
dc.subject Postoperative Complications es_ES
dc.subject Complicaciones Posoperatorias es_ES
dc.subject Spinal Cord es_ES
dc.subject Medula Espinal es_ES
dc.title Resultados a largo plazo del tratamiento quirúrgico de las fístulas arteriovenosas durales espinales en un centro argentino es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.type info:eu-repo/semantics/publishedVersion
dc.description.fil Fil: Mormandi, Rubén. Fleni. Departamento de Neurocirugía; Argentina.
dc.description.fil Fil: Villamil, Facundo. Fleni. Departamento de Neurocirugía; Argentina.
dc.description.fil Fil: Ruella, Mauro. Fleni. Departamento de Neurocirugía; Argentina.
dc.description.fil Fil: Cervio, Andrés Eduardo. Fleni. Departamento de Neurocirugía; Argentina.
dc.description.fil Fil: Condomí Alcorta, Santiago G. Fleni. Departamento de Neurocirugía; Argentina.
dc.description.fil Fil: Salvat, Jorge M. Fleni. Departamento de Neurocirugía; Argentina.
dc.relation.ispartofNUMBER 2
dc.relation.ispartofPAGINATION 264-272
dc.relation.ispartofCOUNTRY Argentina
dc.relation.ispartofCITY Buenos Aires
dc.relation.ispartofTITLE Medicina
dc.relation.ispartofISSN 1669-9106
dc.type.snrd Animation es_ES
dc.type.snrd info:ar-repo/semantics/artículo es_ES


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