Endovascular treatment of spinal vascular diseases: two case reports

Abstract

Introduction: Endovascular treatment for cerebrospinal vascular diseases has recently advanced. Herein, we present two cases of spinal vascular disease successfully treated using endovascular treatment.

Case report: Case 1 involved a cervical spinal dural arteriovenous fistula that caused an intracranial subarachnoid haemorrhage. A liquid embolic agent was used to perform endovascular embolisation of the fistula. During a 5-year follow-up, the patient's spinal dural arteriovenous fistula disappeared with no recurrence. Case 2 involved an extracranial vertebral artery dissection that caused right C5 radiculopathy. A flow-diverter stent was used for endovascular treatment. The C5 radiculopathy improved rapidly.

Conclusion: Endovascular treatment for spinal vascular diseases is efficacious and, in some cases, less invasive than open surgery. Immediate preoperative vascular investigation and surgical planning are essential for successful treatment.