RT Journal Article
SR Electronic
T1 Triple spinal dural arteriovenous fistula
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e262803
DO 10.1136/bcr-2024-262803
VO 18
IS 1
A1 Boeris, Davide
A1 Giordano, Martina
A1 Petrella, Giacomo
A1 Cenzato, Marco
YR 2025
UL http://casereports.bmj.com/content/18/1/e262803.abstract
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.