IJCEM Copyright © 2008-All rights reserved. Published by e-Century Publishing Corporation, Madison, WI 53711
Int J Clin Exp Med 2013;6(9):814-821

Case Report
Multidisciplinary management of multiple spinal dural arteriovenous fistulae

Liang Ge, Rui Feng, Xiaolong Zhang, Bing Sun, Shixin Gu, Qiwu Xu, Gang Lu, Lei Huang

Department of Interventional Radiology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200040, China;
Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200040, China. Equal
contributors.

Received August 11, 2013; Accepted September 16, 2013; Epub September 25, 2013; Published September 30, 2013

Abstract: Multiple SDAVFs are quite rare. We present two cases with double synchronous shunts and both were treated during
one-stage interventional or surgical procedure. Unique images of the multiple SDAVFs as a PMAVF-like fistula were obtained. These
interesting findings suggest the presence of multiple fistulas must be considered in patients being evaluated for SDAVF. A
multidisciplinary approach to the management of multiple SDAVFs should depend on the anatomic location and angioarchitecture.
(IJCEM1308023).

Keywords: Multiple spinal dural arteriovenous fistulae, perimedullary arteriovenous fistula, multidisciplinary management

Address correspondence to: Dr. Xiaolong Zhang, Department of Interventional Radiology, Huashan Hospital, Shanghai Medical
College, Fudan University, Shanghai 200040, China. Tel: +86 13818849688; Fax: +86 21 52889999; E-mail: xlzhang56@hotmail.com;
Dr. Bing Sun, Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200040, China.
Tel: +86 13501935653; E-mail: msunbing@yahoo.com