NEUROLOGIC MANIFESTATIONS OF SPINAL EPIDURAL ARTERIOVENOUS-MALFORMATIONS

Eight patients with spinal epidural arteriovenous malformations presen ted with progressive myelopathy (3), hemorrhage (3), and tinnitus/brui ts (2). MRI suggested a vascular malformation in four (of seven) patie nts. Spinal angiography was necessary for diagnosis. Treatment by endo vascular embolic occlusion (with balloons, particles, or coils) (7 pat ients) or surgical resection (4 patients), or both, temporarily arrest ed progression of neurologic symptoms, but recurrence of symptoms in t wo patients was associated with development of collateral arterial sup ply to the malformation.