Hello Everyone,
I am new to this group and the AVM network. In fact, this whole AVF/AVM world is relatively new to me and I have so many questions, I don't know where to begin but I'll try.
On October 14, I was admitted into the ER due severe decrease in bladder function. I thought I had kidney stones so I was in complete shock when I was told I was in for spinal surgery for what they thought at the time was an AVM located on the conus (L1-L2) of the spine.
Surgery and recovery went great. Recovered most of my bladder function and escaped having to use a long term catheter. So in the world of AVM I considered myself VERY lucky and greatful.
A month later, at the follow-up angiogram, they found a fistula near the same location. As a result of this discovery, the initial AVM diagnosis changed. They now believe that what they thought was an AVM was a in fact a blood clot caused by the AVF.
Unfortunately, the risk of paralyzation is too high to remove the AVF because its location is to close to the Artery of Adamkiewiczts which feeds into the spinal cord.
We are hoping for a better pictures after the next angio because there was still some swelling from the surgery but for now our strategy now is to take the 'wait & see' approach with spinal angios every three months. This presents risks as well. The doctors seem to think that this approach carries a yearly 1-2% chance of something catastrophic happening but the risk increases with age. So by the time I'm 50, I am at a 30% chance of something happening. Hence, after our next angio in February, my husband and I want to get a second opinion. My surgeon suggested Dr. Spetzler at Barrow.
So here are my questions:
1. Has anyone sought out a second opinion with Dr. Spetzler? If so, how can I go about it? And if you had a meeting with Dr. Spetzler what was it like?
2. I live in the Northeast and I have access to the Clevelen Clinic in Ohio, does anyone have a recommendation for doctors in those areas? I want to make sure I get the best care for this and maintain the mobility I have.
3. My doctors (PENN NEURO) seemed suprised by the 'uniqness' of my situation. My age (30s), gender, and location of my AVF seem to be rare. Not exactly what you want to hear from your surgeons. That said, has anyone had a similar experience? Is this really unique or rare?
Lastly I still consider myself tremendously lucky with my diagnosis and outcome. It could have been a lot worse. As a result, I have a new found thankfulness for each and every day.
Thank you for any information you can share to help shed light on this situation.