By Guy Lazorthes (auth.), Professor Dr. Dr. h.c. Hans Werner Pia, René Djindjian (eds.)
The speedy improvement of diagnostic and healing systems within the administration of spinal angiomas has spread out new percentages and supplied larger probabilities for the sufferers involved. the best impetus to this professional gress used to be given via the advent of selective and superselective spinal angiography, microsurgical method, and embolization. those refined options and the ability required for his or her use are faraway from being regimen within the neurosurgical and neuroradiologic departments. even with the rarity of spinal angiomas, the appliance of the above-mentioned systems is the prerequisite for making improvements to early analysis and giving well timed enough deal with ment. hold up in prognosis and remedy are nonetheless the most explanation for unsatisfac tory effects. within the final 10 -20 years, numerous teams in Europe and the united states have performed very important and primary paintings in introducing and constructing the diganos tic and healing armamentarium. in accordance with the pioneering paintings in their academics and the vintage contribution of Wyburn - Mason in 1943, they concurrently stronger the morphologic, physiologic, and scientific foundation of our wisdom. even if development is occurring and plenty of difficulties must be solved, the final rules of scientific analysis, operative therapy, and embolization were laid down and are to be released in a distinct monograph in this topic.
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CNS dysplasias: Hemangiomas Nevi (usually metameric) Angiolipomas Scoliosis, Kyphoscoliosis Vertebral angiomas Soft tissue hemangiomas Angiomas and AV fistulas of extremities Vascular deformities (variectasias) Disseminated hemangiomas Klippel-Trenauney-Weber syndrome Hemangiomas in viscera (liver) Osler-Rendu syndrome Lymphatic dysplasias (angioelephantiasis) Intracranial angiomas Cerebrospinal angiomatosis Saccular aneurysms (cerebral or spinal arteries) Hemangioblastomas - cerebellum, spinal cord Retinocerebellar angiomatosis Rippel-Lindau disease, etc.
The intramedullary vascular lesions either primary or secondary in origin are believed to enhance the development of damage to the cord that obviously represents the final result of a long-standing pathologic process causally related to the vascular malformation, although its pathogenetic factors are not yet fully understood. Spinal angiography has not only succeeded in eliminating F AS as a clinicopathologic entity, but will it is hoped contribute further to eliminating this and other delayed sequelae of spinal angiomas by facilitating their early clinical diagnosis and providing the basis for successful surgical treatment.
1966; Kunc and Bret, 1969; Pia, 1973) and has been observed in one among 23 morphologically proven spinal intradural AVMs of our series. , 1971). , 1971; Perret and Nishioka, 1966). Spinal extradural hematoma arising from vascular malformation with or without previous minor trauma is rare. , 1965). Spinal subdural hematoma associated with AVM is rare (Pia, 1973). , 1968; Marty, 1899; Odom, 1957; Ohlmacher, 1899; Pia, 1973; Reznik, 1965; Richardson, 1938; Vraa-Jensen, 1949; Wyburn-Mason, 1943), and intramedullary capillary angiomas or teleangiectasias (Riecke, 1949; Koos and Bock, 1970; van Reeth, 1952;RusseIl, 1932).