Spinal osseous epidural arteriovenous fistula with multiple small arterial feeders converging to a round fistular nidus as a target of venous approach

AJNR Am J Neuroradiol. 2004 Jan;25(1):69-73.


We present two patients with spinal epidural arteriovenous fistulas involving the vertebral body recruiting dural and osseous branches as feeders. The fistulas, forming a round venous sac into which the multiple arterial feeders converge, were located near the round bony defect of the vertebral body, suggesting the osseous component of this vascular lesion. Transvenous coil embolization of the round venous sac results in near-total obliteration of the lesion, leading to symptomatic improvement.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Arteriovenous Fistula / diagnostic imaging
  • Arteriovenous Fistula / therapy*
  • Cervical Plexus / diagnostic imaging
  • Cervical Plexus / pathology
  • Cervical Plexus / surgery
  • Cervical Vertebrae / diagnostic imaging
  • Cervical Vertebrae / pathology
  • Cervical Vertebrae / surgery
  • Embolization, Therapeutic*
  • Epidural Space / blood supply*
  • Epidural Space / diagnostic imaging
  • Epidural Space / pathology*
  • Female
  • Humans
  • Intracranial Arteriovenous Malformations / diagnostic imaging
  • Intracranial Arteriovenous Malformations / therapy*
  • Magnetic Resonance Imaging
  • Middle Aged
  • Platinum / therapeutic use
  • Radiographic Image Enhancement
  • Spinal Cord Compression / diagnostic imaging
  • Spinal Cord Compression / therapy*


  • Platinum