Document Detail

Embolization of spinal cord vascular malformations via the anterior spinal artery.
MedLine Citation:
PMID:  6410749     Owner:  NLM     Status:  MEDLINE    
During a 3 year period, 21 patients with spinal cord vascular malformations involving the anterior spinal artery were treated by embolization through this artery. Of four cases of extramedullary arteriovenous fistula, two patients embolized at an early stage showed excellent results, whereas results were mediocre in two patients who were paraplegic at embolization. Of 17 cases of intramedullary arteriovenous malformation (AVM), nine patients showed clinical improvement either with or without radiologic evidence of residual malformation; three patients had complications that led to clinical worsening; in the other five patients, results were mixed or inconclusive. Angiomyelotomography is recommended to diagnose extramedullary arteriovenous fistulae involving the anterior spinal artery. Pretherapeutic evaluation of intramedullary AVMs must consider the spinal cord level at which the malformation occurs. Angiotomography and temporary occlusion tests permit identification of collateral anastomoses before embolization. Respective criteria for surgery and embolization are defined. In cases where embolization is indicated, short-term results can generally be predicted.
M C Riché; J P Melki; J J Merland
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJNR. American journal of neuroradiology     Volume:  4     ISSN:  0195-6108     ISO Abbreviation:  AJNR Am J Neuroradiol     Publication Date:    1983 May-Jun
Date Detail:
Created Date:  1983-09-20     Completed Date:  1983-09-20     Revised Date:  2008-02-14    
Medline Journal Info:
Nlm Unique ID:  8003708     Medline TA:  AJNR Am J Neuroradiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  378-81     Citation Subset:  IM    
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MeSH Terms
Angiography / methods
Arteriovenous Fistula / radiography,  therapy
Arteriovenous Malformations / radiography,  therapy*
Embolization, Therapeutic*
Myelography / methods
Spinal Cord / blood supply*
Tomography, X-Ray / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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