Use of ultrasound techniques in the diagnosis of spinal dural arteriovenous fistulas
S. A. Goroshchenko,
G. S. Manukova,
V. V. Bobinov,
A. E. Petrov,
N. A. Mamonov,
K. A. Samochernykh,
L. V. Rozhchenko https://doi.org/10.56618/2071-2693_2024_16_1_18
EDN: AHVSMC
Abstract
AIM. To demonstrate a new method of ultrasound diagnostics of spinal dural arteriovenous fistulas (dAVF).
MATERIALS AND METHODS. The results of examination of 21 patients with spinal dAVFs were analyzed. All patients underwent ultrasound examination of the spinal canal.
RESULTS. Pathologic perimedullary vessels were detected in all cases, an ultrasound pattern of AV shunting was detected in 20 cases, and a pattern of venous flow was detected in one case; preliminary diagnoses were fully confirmed by spinal angiography.
CONCLUSION. Ultrasound diagnosis of spinal dAVF is a relatively simple and effective technique that allows to suspect the diagnosis already at the outpatient stage and to clarify indications for more complex and expensive methods of diagnosis verification.
Supporting agencies: The study was carried out within the framework of state task No 121031100282-3 “Development of a personalized approach to endovascular treatment of cerebral arteriovenous malformations based on the study of molecular mechanisms of neoangiogenesis”.
About the Authors
S. A. Goroshchenko
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre, Neurosurgical department No. 3
Russian Federation
Russian Federation
Goroshchenko Sergey Anatolyevich,
12, Mayakovskogo str., St. Petersburg, 191025.
G. S. Manukova
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre, Neurosurgical department No. 3
Russian Federation
Russian Federation
Manukova Galina Sergeevna,
12, Mayakovskogo str., St. Petersburg, 191025.
V. V. Bobinov
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre, Neurosurgical department No. 3
Russian Federation
Russian Federation
Bobinov Vasiliy Vitalyevich,
12, Mayakovskogo str., St. Petersburg, 191025.
A. E. Petrov
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre, Neurosurgical department No. 3
Russian Federation
Russian Federation
Petrov Andrey Evgenyevich,
12, Mayakovskogo str., St. Petersburg, 191025.
N. A. Mamonov
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre, Neurosurgical department No. 3
Russian Federation
Russian Federation
Mamonov Nikita Andreevich,
12, Mayakovskogo str., St. Petersburg, 191025.
K. A. Samochernykh
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre, Neurosurgical department No. 3
Russian Federation
Russian Federation
Samochernykh Konstantin Alexandrovich,
12, Mayakovskogo str., St. Petersburg, 191025.
L. V. Rozhchenko
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre, Neurosurgical department No. 3
Russian Federation
Russian Federation
Rozhchenko Larisa Vitalyevna,
12, Mayakovskogo str., St. Petersburg, 191025.
References
1. Jellema K., Canta L. R., Tijssen C. C., van Rooij W. J., Koudstaal P. J., van Gijn J. Spinal dural arteriovenous fistulas: clinical features in 80 patients. J Neurol Neurosurg Psychiatry. 2003;74(10):1438–1440. Doi: 10.1136/jnnp.74.10.1438.
2. Fox S., Hnenny L., Ahmed U., Meguro K., Kelly M. E. Spinal dural arteriovenous fistula: a case series and review of imaging findings. Spinal Cord Ser Cases. 2017;6(3):17024. Doi: 10.1038/scsandc.2017.24.
3. Narvid J., Hetts S. W., Larsen D., Neuhaus J., Singh T. P., McSwain H., Lawton M. T., Dowd C. F., Higashida R. T., Halbach V. V. Spinal dural arteriovenous fistulae: clinical features and long-term results. Neurosurgery. 2008;62(1):159–166. Doi: 10.1227/01.NEU.0000311073.71733.C4.
4. Thron A. Spinale durale arteriovenöse Fisteln [Spinal dural arteriovenous fistulas]. Radiologe. 2001;41(11):955–960. Doi: 10.1007/s001170170031.
5. Gemmete J. J., Chaudhary N., Elias A. E., Toma A. K., Pandey A. S.., Parker R. A., Davagnanam I., Maher C. O., Brew S., Robertson F. Spinal dural arteriovenous fistulas: clinical experience with endovascular treatment as a primary therapy at 2 academic referral centers. AJNR Am J Neuroradiol. 2013;34(10):1974–1979. Doi: 10.3174/ajnr.A3522.
6. Gilbertson J. R., Miller G. M., Goldman M. S., Marsh W. R. Spinal dural arteriovenous fistulas: MR and myelographic findings. AJNR Am J Neuroradiol. 1995;16(10):2049– 2057.
7. Kim M. G., Jeong S. W., Solli E., Amin A. G., Ronecker J. S., Bobra S. Temporal evolution of a patient with a spinal dural arteriovenous fistula on serial MRI. Spinal Cord Ser Cases. 2018;(4):10. Doi: 10.1038/s41394-0180039-x.
8. Krings T., Geibprasert S. Spinal dural arteriovenous fistulas. AJNR Am J Neuroradiol. 2009;30(4):639–648. Doi: 10.3174/ajnr.A1485.
9. Muralidharan R., Saladino A., Lanzino G., Atkinson J. L., Rabinstein A. A. The clinical and radiological presentation of spinal dural arteriovenous fistula. Spine (Phila Pa 1976). 2011;36(25):E1641–E1647. Doi: 10.1097/BRS.0b013e31821352dd.
10. Hurst R. W., Kenyon L. C., Lavi E., Raps E. C., Marcotte P. Spinal dural arteriovenous fistula: the pathology of venous hypertensive myelopathy. Neurology. 1995;45(7):1309–1313. Doi: 10.1212/wnl.45.7.1309.
11. Takai K., Komori T., Taniguchi M. Microvascular anatomy of spinal dural arteriovenous fistulas: arteriovenous connections and their relationships with the dura mater. J Neurosurg Spine. 2015;23(4):526–533. Doi: 10.3171/2014.11.SPINE14786.
12. Chibbaro S., Gory B., Marsella M., Tigan L., Herbrecht A., Orabi M., Bresson D., Baumann F., Saint-Maurice J. P., George B., Kehrli P., Houdart E., Manisor M., Pop R. Surgical management of spinal dural arteriovenous fistulas. J Clin Neurosci. 2015;22(1):180–183. Doi: 10.1016/j.jocn.2014.07.024.
13. Lindenholz A., TerBrugge K. G., van Dijk J. M., Farb R. I. The accuracy and utility of contrast-enhanced MR angiography for localization of spinal dural arteriovenous fistulas: the Toronto experience. Eur Radiol. 2014;24(11):2885–2894. Doi: 10.1007/s00330-014-3307-6.
14. Schuss P., Daher F. H., Greschus S., Vatter H., Güresir E. Surgical Treatment of Spinal Dural Arteriovenous Fistula: Management and Long-Term Outcome in a SingleCenter Series. World Neurosurg. 2015;83(6):1002–1005. Doi: 10.1016/j.wneu.2015.02.026.
15. Luetmer P. H., Lane J. I., Gilbertson J. R., Bernstein M. A., Huston J. 3rd, Atkinson J. L. Preangiographic evaluation of spinal dural arteriovenous fistulas with elliptic centric contrast-enhanced MR Angiography and effect on radiation dose and volume of iodinated contrast material. AJNR Am J Neuroradiol. 2005;26(4):711–718.
16. Saraf-Lavi E., Bowen B. C., Quencer R. M., Sklar E. M., Holz A., Falcone S., Latchaw R. E., Duncan R., Wakhloo A. Detection of spinal dural arteriovenous fistulae with MR imaging and contrast-enhanced MR angiography: sensitivity, specificity, and prediction of vertebral level. AJNR Am J Neuroradiol. 2002;23(5):858–867.
17. Saindane A. M., Boddu S. R., Tong F. C., Dehkharghani S., Dion J. E. Contrast-enhanced time-resolved MRA for preangiographic evaluation of suspected spinal dural arterial venous fistulas. J Neurointerv Surg. 2015;7(2):135–140. Doi: 10.1136/neurintsurg-2013-010981.
18. Jeng Y., Chen D. Y., Hsu H. L., Huang Y. L., Chen C. J., Tseng Y. C. Spinal Dural Arteriovenous Fistula: Imaging Features and Its Mimics. Korean J Radiol. 2015;16(5):1119–1131. Doi: 10.3348/kjr.2015.16.5.1119.
19. Naamani K. E., Abbas R., Tartaglino L., Sweid A., Herial N. A., Tjoumakaris S., Gooch M. R., Rosenwasser R. H., Jabbour P. The Accuracy of the TRICKS MRI in Diagnosing and Localizing a Spinal Dural Arteriovenous Fistula: A Feasibility Study. World Neurosurg. 2022;158:e592-e597. Doi: 10.1016/j.wneu.2021.11.020.
20. Honarmand A. R., Gemmete J. J., Hurley M. C., Shaibani A., Chaudhary N., Pandey A. S., Bendok B. R., Ansari S. A. Adjunctive value of intra-arterial cone beam CT angiography relative to DSA in the evaluation of cranial and spinal arteriovenous fistulas. J Neurointerv Surg. 2015;7(7):517–523. Doi: 10.1136/neurintsurg-2014-011139.
21. Tanaka M. Spinal Dural AVFs: Classifications and Advanced Imaging. 2021 May 11; eds by Esposito G., Regli L., Cenzato M., Kaku Y., Tanaka M., Tsukahara T. Trends in Cerebrovascular Surgery and Interventions [Internet]. Cham (CH): Springer; 2021. Doi: 10.1007/9783-030-63453-7_19.
22. Aadland T. D., Thielen K. R., Kaufmann T. J., Morris J. M., Lanzino G., Kallmes D. F., Schueler B. A., Cloft H. 3D C-arm conebeam CT angiography as an adjunct in the precise anatomic characterization of spinal dural arteriovenous fistulas. AJNR Am J Neuroradiol. 2010;31(3):476–480. Doi: 10.3174/ajnr.A1840.
23. Yamaguchi S., Takemoto K., Takeda M., Kajihara Y., Mitsuhara T., Kolakshyapati M., Mukada K., Kurisu K. The Position and Role of Four-Dimensional Computed Tomography Angiography in the Diagnosis and Treatment of Spinal Arteriovenous Fistulas. World Neurosurg. 2017;(103):611–619. Doi: 10.1016/j.wneu.2017.03.100.
24. Alvarado E., Leach J., Caré M., Mangano F., O. Hara S. Pediatric Spinal Ultrasound: Neonatal and Intraoperative Applications. Semin Ultrasound CT MR. 2017;38(2):126– 142. Doi: 10.1053/j.sult.2016.07.003.
25. Chi M., Chen A. S. Ultrasound for Lumbar Spinal Procedures. Phys Med Rehabil Clin N Am. 2018;29(1):49– 60. Doi: 10.1016/j.pmr.2017.08.005.
26. Orman G., Tijssen M. P. M., Seyfert D., Gassner I., Huisman T. A. G. M. Ultrasound to Evaluate Neonatal Spinal Dysraphism: A First-Line Alternative to CT and MRI. J Neuroimaging. 2019;29(5):553–564. Doi: 10.1111/jon.12649.
27. Toossi A., Everaert D. G., Seres P., Jaremko J. L., Robinson K., Kao C. C., Konrad P. E., Mushahwar V. K. Ultrasoundguided spinal stereotactic system for intraspinal implants. J Neurosurg Spine. 2018;29(3):292–305. Doi: 10.3171/2018.1.SPINE17903.
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For citations:
Goroshchenko S.A., Manukova G.S., Bobinov V.V., Petrov A.E., Mamonov N.A., Samochernykh K.A., Rozhchenko L.V. Use of ultrasound techniques in the diagnosis of spinal dural arteriovenous fistulas. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2024;16(1):18-24. (In Russ.) https://doi.org/10.56618/2071-2693_2024_16_1_18. EDN: AHVSMC
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