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Vascular malformations of the spinal cord

Intrathecal perimedullary arteriovenous fistulas fed by medullary arteries

Department of Neurology (Dr. Gueguen), Pr Rondot, Hôpital Sainte Anne, and the Departments of Neuroradiology (Drs. Merland and Riche) and Neurosurgery (Dr. Rey), Hôpital Lariboisière, Paris, France.

We studied eleven patients with intrathecal extramedullary arteriovenous fistulas identified by selective angiography and myelography. The fistulas were located on the surface of the cord, fed by medullary arteries. Angiography distinguished three separate types that gave identical clinical disorders. Therapeutic results of surgery and embolization allowed specific indications to be defined for treatment of each type of fistula.

Address correspondence and reprint requests to Dr. Gueguen. Department of Neurology, Pr Rondot, Hôpital Sainte Anne, 1 rue Cabanis, 75 674 Paris Céder 14, France.

Received April 28, 1986. Accepted for publication in final form October 7, 1986.

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