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Arteriovenous Fistula of the Filum Terminale: Diagnosis, Treatment, and Literature Review

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Abbreviations

AFT:

Artery of the filum terminale

ASA:

Anterior spinal artery

AV:

Arteriovenous

AVFFT:

Arteriovenous fistula of the filum terminale

DAVF:

Dural arteriovenous fistula

DSA:

Digital subtraction angiography

ICG:

Indocyanine green videoangiography

IMAVM:

Intramedullary arteriovenous malformation

LSA:

Lateral sacral artery

PMAVM:

Perimedullary arteriovenous malformation

SDAVF:

Spinal dural arteriovenous fistula

References

  1. Foix CH, Alajouanine TH. La myélite nécrotique subaigüe. Rev Neurol. 1926;46:1–42.

    Google Scholar 

  2. Heros RC. Foix-Alajouanine syndrome: what is it? J Neurosurg. 2009;111(5):900–1.

    Article  PubMed  Google Scholar 

  3. Riché MC, Melki JP, Merland JJ. Embolization of spinal cord vascular malformations via the anterior spinal artery. AJNR. 1983;4(3):378–81.

    PubMed  Google Scholar 

  4. Tender GC, Vortmeyer AO, Oldfield EH. Spinal intradural arteriovenous fistulas acquired in late adulthood: absent spinal venous drainage in pathogenesis and pathophysiology. Report of two cases. J Neurosurg Spine. 2005;3(6):488–94.

    Article  PubMed  Google Scholar 

  5. Djindjian M, Djindjian R, Rey A, Hurth M, Houdart R. Intradural extramedullary spinal arterio-venous malformations fed by the anterior spinal artery. Surg Neurol. 1977;8(2):85–93.

    PubMed  CAS  Google Scholar 

  6. Djindjian M, Ribeiro A, Ortega E, et al. The normal vascularisation of the intradural filum terminale in man. Surg Radiol Anat. 1988;10:201–9.

    Article  PubMed  CAS  Google Scholar 

  7. Mourier KL, Gobin YP, George B, Lot G, Merland JJ. Intradural perimedullary arteriovenous fistulae: results of surgical and endovascular treatment in a series of 35 cases. Neurosurgery. 1993;32(6):885–91.

    Article  PubMed  CAS  Google Scholar 

  8. Jin YJ, Kim KJ, Kwon OK, Chung SK. Perimedullary arteriovenous fistula of the filum terminale: case report. Neurosurgery. 2010;66(1):E219–20.

    Article  PubMed  Google Scholar 

  9. Hsu SW, Rodesch G, Luo CB, Chen YL, Alvarez H, Lasjaunias PL. Concomitant conus medullaris arteriovenous malformation and sacral dural arteriovenous fistula of the filum terminale. Interv Neuroradiol. 2002;8(1):47–53 (Epub 2004 Oct 20).

    PubMed  CAS  Google Scholar 

  10. Tomlinson FH, Rüfenacht DA, Sundt TM Jr, Nichols DA, Fode NC. Arteriovenous fistulas of the brain and the spinal cord. J Neurosurg. 1993;79(1):16–27.

    Article  PubMed  CAS  Google Scholar 

  11. Rodesch G, Hurth M, Alvarez H, Tadié M, Lasjaunias P. Classification of spinal cord arteriovenous shunts: proposal for a reappraisal—the Bicêtre experience with 155 consecutive patients treated between 1981 and 1999. Neurosurgery. 2002;51(2):374–9.

    PubMed  Google Scholar 

  12. Tarlov I. Structure of the filum terminale. Arch Neurol Psychiatry. 1938;40:1–16.

    Article  Google Scholar 

  13. Lim SM, Choi IS, David CA. Spinal arteriovenous fistulas of the filum terminale. AJNR. 2011;32(10):1846–50 (Epub 2011 Aug 18).

    Article  PubMed  CAS  Google Scholar 

  14. Mochizuki T, Nemoto Y, Inoue Y, Tashiro T, Sakanaka H. Lateral sacral artery supply to an intramedullary arteriovenous fistula at the conus medullaris. Neuroradiology. 1991;33(5):419–21.

    Article  PubMed  CAS  Google Scholar 

  15. Harmeier J. The normal histology of the intradural filum terminale. Arch Neurol Psychiatry. 1933;29:308–16.

    Article  Google Scholar 

  16. Mitha AP, Murphy EE, Ogilvy CS. Type A intradural spinal arteriovenous fistula. Case report. J Neurosurg Spine. 2006;5:447–50.

    Article  PubMed  Google Scholar 

  17. Macht S, Chapot R, Bieniek F, Hänggi D, Turowski B. Unique sacral location of an arteriovenous fistula of the filum terminale associated with diastematomyelia and lowered spinal cords. Neuroradiology. 2012;54(5):517–9.

    Article  PubMed  Google Scholar 

  18. Trinh VT, Duckworth EAM. Surgical excision of filum terminale arteriovenous fistulae after lumbar fusion: value of indocyanine green and theory on origins (a technical note and report of two cases). Surg Neurol Int. 2011;2:63 (Epub 2011 May 14).

    Article  PubMed  Google Scholar 

  19. Witiw CD, Fallah A, Radovanovic I, Wallace MC. Sacral intradural arteriovenous fistula treated indirectly by transection of the filum terminale: technical case report. Neurosurgery. 2011;69(3):E780–4.

    Article  PubMed  Google Scholar 

  20. Gueguen B, Merland JJ, Riche MC, Rey A. Vascular malformations of the spinal cord: intrathecal perimedullary arteriovenous fistulas fed by medullary arteries. Neurology. 1987;37(6):969–79.

    Article  PubMed  CAS  Google Scholar 

  21. Meisel HJ, Lasjaunias P, Brock M. Modern management of spinal and spinal cord vascular lesions. Minim Invas Neurosurg. 1995;38:138–45.

    Article  CAS  Google Scholar 

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Acknowledgments

Dr. C. Schul performed the surgical procedure on the patient described. Dr. P. Kohlhof was in charge for the histological examination of the specimen. The authors are grateful to James Lago for language revision of the manuscript.

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Authors and Affiliations

  1. Neuroradiologische Klinik, Klinikum Stuttgart, Kriegsbergstrasse 60, 70174, Stuttgart, Germany

    S. Fischer, M. Aguilar Perez & H. Henkes

  2. Neurochirurgische Klinik, Westpfalz Klinikum Kaiserslautern, Kaiserslautern, Germany

    H. Bassiouni

  3. Neurochirurgische Klinik, Klinikum Stuttgart, Stuttgart, Germany

    N. Hopf

  4. Neurologische Klinik, Klinikum Stuttgart, Stuttgart, Germany

    H. Bäzner

  5. Medizinische Fakultät der Universität Duisburg-Essen, Essen, Germany

    H. Henkes

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  1. S. Fischer
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  2. M. Aguilar Perez
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  3. H. Bassiouni
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  4. N. Hopf
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  5. H. Bäzner
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  6. H. Henkes
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Correspondence to H. Henkes.

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Fischer, S., Aguilar Perez, M., Bassiouni, H. et al. Arteriovenous Fistula of the Filum Terminale: Diagnosis, Treatment, and Literature Review. Clin Neuroradiol 23, 309–314 (2013). https://doi.org/10.1007/s00062-012-0188-4

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  • DOI: https://doi.org/10.1007/s00062-012-0188-4

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