Malformación arteriovenosa cervical. Presentación de una paciente

The symptomatic arteriovenous malformation in the head and neck in the adult is an infrequent and potentially fatal disease. The surgical management is described and outcome in a patient diagnosed with cervical arteriovenous malformation who entered at Neurosurgery Ward of “Arnaldo Milan Castro” Hospital. The patient attended the institution because of bilateral cervicobrachial and right lumbosciatic pain for four years that was accompanied by acroparesthesia and marked and progressive weakness of both lower limbs. A nuclear magnetic resonance reported an extramedullary intracranial occupational process at the level of the cervical segment C-6 and C-7, so surgical treatment was decided (a laminectomy and a total exceresis of the lesion were performed). A biopsy sample was taken that reported cervical arteriovenous malformation. Postoperative evolution was satisfactory and continued with follow-up.