Document Detail


Cavernous angiomas and arteriovenous malformations of the spinal epidural space: report of 11 cases.
MedLine Citation:
PMID:  7838334     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We have retrospectively studied 11 cases of solitary cavernous and arteriovenous malformations of the spinal epidural space. The acute or subacute onset of symptoms was found in all cases, with a neurological deficit in five cases. A plain x-ray study revealed abnormal calcification in one case. Hyperdensity with no iodine enhancement was found on computed tomographic scans in all cases. Magnetic resonance imaging studies showed ovoid or round lesions with isosignal and gadolinium enhancement on T1-weighted images and hypersignal on T2-weighted images, except in one case with hypersignal on T1 and T2 before the administration of a contrast medium. Four lumbar cases were localized in the posterior vertebral ligament; all the thoracic cases were posterior with foraminal extension. The other cases were anterolateral. The surgical findings revealed a dark vascularized epidural lesion associated in two cases with a localized epidural hematoma. A pathological examination revealed seven cavernous angiomas and four arteriovenous malformations. These arteriovenous malformations were all lumbar, and two of four localized within the posterior ligament. The pathophysiology of these vascular malformations is discussed. In light of the good postoperative prognosis of these lesions, surgical removal is recommended for all the symptomatic cases.
Authors:
N Graziani; P Bouillot; D Figarella-Branger; H Dufour; J C Peragut; F Grisoli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  35     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1994 Nov 
Date Detail:
Created Date:  1995-02-28     Completed Date:  1995-02-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  856-63; discussion 863-4     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, CHU La Timone, Marseille, France.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arteriovenous Malformations / diagnosis,  pathology,  surgery*
Epidural Neoplasms / diagnosis,  pathology,  surgery*
Epidural Space / blood supply,  pathology
Female
Follow-Up Studies
Hemangioma, Cavernous / diagnosis,  pathology,  surgery*
Hemosiderin / metabolism
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Neurologic Examination
Postoperative Complications / diagnosis
Spinal Cord / blood supply*,  pathology,  surgery
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
9011-92-1/Hemosiderin

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