PMC4407406_01
(a) Intraoperative photograph showing the grossly abnormal fatty myelomeningocele (long arrow) adherent to the dura (small arrow). (b) Intraoperative photograph after the circumferential dissection of the lipomyelomeningocele from the surrounding dura (small arrow).
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fig1
A standard midline approach was utilized, and a grossly abnormal fatty myelomeningocele was circumferentially dissected (Figure 1(a)). The remaining lipomyelomeningocele was mobilized and resected (Figure 1(b)).
Spinal angiogram through right (a) and left (b) internal iliac artery injections demonstrating complete obliteration of the dural arteriovenous fistula with no evidence of draining vein. ILA: iliolumbar artery; LSA: lateral sacral artery.
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fig2
Follow-up spinal angiogram showed no evidence of residual DAVF or early draining vein (Figure 2).