{"id":"460f9281-08cd-4d08-8fdb-dd1ef54226e0","slug":"a-case-involving-a-giant-aberrant-craniocervical-arteriovenous-malformation","title":"A case involving a giant aberrant craniocervical arteriovenous malformation","authors":["Agung Budi Sutiono","Jusuf Desman Banjarnahor"],"abstract":"Background: Spinal cord arteriovenous malformations (AVMs) comprise about 3%–4% of primary intraspinal masses and are only rarely found external to the C2–C7 cervical vertebral foramen. Case Description: A 21-year-old female presented with neck pain and a spastic quadriparesis of 1 year duration. The cervical magnetic resonance imaging and three-dimensional computed tomography angiograms documented an AVM/dural arteriovenous fistula on the right fed by multiple arteries located in the C5–C6 and C6–C7 foramen intervertebralis; utilizing a laminectomy, the large feeding arteries were double-clipped. This allowed for devascularization of the AVM and facilitated resection while preserving the aberrant vertebral artery. The patient was discharged within 1 week and, 2 months later, was able to ambulate to the outpatient clinic. Conclusion: Double clipping of the two main right-sided arterial feeders at the C5–C6 and C6–C7 levels allowed for devascularization and resection of this large cervical AVM while carefully preserving the aberrant vertebral artery.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/460f9281-08cd-4d08-8fdb-dd1ef54226e0/featured/hero-1781563920636.png","publishDate":"2019-06-07T00:00:00.000Z","doi":"10.25259/SNI-161-2019","categories":["Skull Base","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2019/06/9348/SNI-10-99.pdf"}