PT  - JOURNAL ARTICLE
AU  - Boeris, Davide
AU  - Giordano, Martina
AU  - Petrella, Giacomo
AU  - Cenzato, Marco
TI  - Triple spinal dural arteriovenous fistula
AID  - 10.1136/bcr-2024-262803
DP  - 2025 Jan 01
TA  - BMJ Case Reports
PG  - e262803
VI  - 18
IP  - 1
4099  - http://casereports.bmj.com/content/18/1/e262803.short
4100  - http://casereports.bmj.com/content/18/1/e262803.full
SO  - BMJ Case Reports2025 Jan 01; 18
AB  - Spinal dural arteriovenous fistulas (SDAVFs) are the most common type of spinal vascular malformations. Multiple SDAVFs are unusual and can occur either synchronously or metachronously, as reported in the literature. We report on the unusual case of a woman with three separate SDAVFs, which were surgically treated within the same setting; the postoperative course was characterised by unexplained repeated haematoma formation within the surgical sites. A review of the literature was performed to assess the outcomes of patients with multiple distinct SDAVFs: the data of 19 patients were collected, accounting for 41 SDAVFs. Of these, only two patients had all the SDAVFs treated within the same surgical procedure. Based on our literature review, contemporary surgery is not a predisposing factor to haemorrhage per se; however, we can hypothesise that the uncontrolled deliquoration could account for haematoma formation within the surgical sites.