Usefulness of Surgical Diagnosis and Treatment of Spinal Cord Injury Caused by Epidural Spinal Arteriovenous Malformation Rupture: A Case Report of an Extremely Rare Disease

Jung‐won Lim, Jung Jae Lee, Jin-Hoon Park
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Abstract

difficult to diagnose because of technical difficulties in performing angiography and the small lesion size. To date, the most appropriate method of treating and diagnos-ing spontaneous spinal hemorrhage due to spinal AVMs with neurological deficits remains un-clear. Herein, we present a rare case of spontaneous vertebral hemorrhage due to a thoracic epidural spinal AVM, which was removed surgically and accurately diagnosed based on a histopathological examination of the lesion. This case emphasizes that an accurate diagnosis and neurological recovery could be achieved in patients with spontaneous spinal epidural hematoma through biopsy and surgical removal of the hematoma and AVM.
硬膜外脊髓动静脉畸形破裂致脊髓损伤的外科诊断和治疗价值:一例极为罕见的疾病报告
由于血管造影技术困难和病变面积小,诊断困难。迄今为止,最合适的治疗方法和诊断自发性脊髓出血由于脊髓avm与神经功能障碍仍不清楚。在此,我们报告一例罕见的由胸椎硬膜外AVM引起的自发性椎体出血病例,该病例通过手术切除并根据病变的组织病理学检查准确诊断。本病例强调自发性脊髓硬膜外血肿患者可以通过活检和手术切除血肿和AVM来获得准确的诊断和神经功能恢复。
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