October 2, 2025Neurosurgical Focus VideoOpen Access

Microsurgical treatment of sacral spinal dural arteriovenous fistula

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Profound myelopathy improved after surgical treatment of a sacral spinal dAVF in a 71-year-old female.
Complete spinal angiography is crucial for detecting the arteriovenous shunting associated with dAVFs.
Nuanced angiographic techniques revealed the fistulous point located at the left S1–2 neural foramen.
Successful management involved microsurgical selective venous disconnection of the identified dAVF.

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Case report highlights the importance of angiography and microsurgery in treating dAVFs in elderly patients.

Hallak et al. (2025) studied this question.

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