| Preoperative evaluation of spinal vascular malformation by MR angiography: how reliable is the technique: case report and review of literature. | |
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MedLine Citation:
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PMID: 18358597 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Contrast-enhanced MR angiography (MRA) has been increasingly used in the evaluation of spinal vascular malformations. Even though MR spinal angiography has several advantages over catheter spinal angiography (DSA), however, spinal DSA must never be omitted before operation, even if the vascular malformation is nicely demonstrated by MR angiography. We report a case of spinal vascular malformation in which MR angiography provided great images which almost convinced everyone about the type and site of malformation/fistula. The images were so convincing that it was almost decided to skip catheter based angiography, citing reason of disadvantages of catheter based angiography over MR angiography. However, spinal DSA was luckily done which completely changed the type and site of malformation and helped in avoiding failed surgery. We conclude that even though catheter based spinal angiography has disadvantages over MRA, it should never be omitted from the diagnostic protocol. |
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Authors:
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Ashwani Kumar Sharma; Per-Lennart Westesson |
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Publication Detail:
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Type: Case Reports; Journal Article; Review Date: 2008-03-21 |
Journal Detail:
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Title: Clinical neurology and neurosurgery Volume: 110 ISSN: 0303-8467 ISO Abbreviation: Clin Neurol Neurosurg Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-05-13 Completed Date: 2008-08-14 Revised Date: 2009-10-14 |
Medline Journal Info:
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Nlm Unique ID: 7502039 Medline TA: Clin Neurol Neurosurg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 521-4 Citation Subset: IM |
Affiliation:
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Division of Neuroradiology, Department of Radiology, Strong Memorial Hospital, URMC, 601 Elmwood Avenue, Rochester, NY 14620, USA. aksharma73@rediffmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Angiography, Digital Subtraction Arteriovenous Fistula / classification, diagnosis*, surgery Central Nervous System Vascular Malformations / classification, diagnosis*, surgery Female Humans Lumbar Vertebrae Magnetic Resonance Angiography Preoperative Care / methods Sensitivity and Specificity Spinal Cord / blood supply* Treatment Outcome Vertebral Artery / abnormalities* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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