Angiography in Angiomas of the Spinal Cord

Djindjian, R

doi:10.1007/978-3-642-66720-6_7

Cited by 34 publications

(32 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It could be possible that the acute, severe, localised blow with the strong knife caused a sudden surge and rise of intravascular pressure, with the rupture of small subdural veins, resulting in the production of SDH. This view is also entertained by Djindjian et al, 8 and by Wilkins. 7 The case of Zilkha and Nicolette 11 is of interest.…”

Section: Discussionsupporting

confidence: 66%

Stab wound of the back causing an acute subdural haematoma and a Brown–Sequard neurological syndrome

Harris

2005

Spinal Cord

View full text Add to dashboard Cite

Objective: To report on an unusual knife stab injury of the thoracic spine, causing an acute subdural haematoma (SDH) and paraparesis. Setting: Department of Surgical Neurology, Ward 20, The Royal Infirmary of Edinburgh. Case report: The weapon was a knife, which traversed the mid-thoracic spinal region, causing an incomplete spinal cord lesion, which was demonstrated by myelography to be due to an SDH. The haematoma was removed at operation. There was a full neurological recovery. Conclusion: There was no bony injury. The likely cause for the development of the SDH was believed to be due to the sudden impingement on the spine by the weapon, rupturing small subdural veins.Spinal Cord (2005) 43, 678-679.

show abstract

Section: Discussionsupporting

confidence: 66%

Stab wound of the back causing an acute subdural haematoma and a Brown–Sequard neurological syndrome

Harris

2005

Spinal Cord

View full text Add to dashboard Cite

show abstract

“…Three patients had multi-level lesions that were separated by unaffected segments (cases 3, 17 and 31). spinal cord is at the T4/5 level [1,3]. In contrast, in patients with grade D myelopathy, the vascular component plays a less significant role when compared with the effects of direct compression of the spinal cord.…”

Section: Resultsmentioning

confidence: 99%

Neurological complications of spinal tuberculosis in children

Mushkin

Kovalenko

1999

International Orthopaedics

View full text Add to dashboard Cite

Neurological complications of thoracic and lumbar spinal tuberculosis were studied in 32 patients under the age of 16 years. The majority had lesions involving three or more vertebral bodies. Paraplegia occurred in 8 patients and was always associated with bladder and bowel dysfunction. Lesions located at T4/5 were most commonly accompanied by paraplegia. Deterioration of the neurological status was related to the degree of spinal stenosis, whereas the degree of kyphosis was of less importance. Radiculopathy is rare in children with Pott's disease.Résumé Sont étudiees les complications neurologiques de la tuberculose vertébrale observées chez 32 enfants agés de 16 ans au maximum avec une 1ésion de la région thoracique et la région lombaire. Dans la plupart des cas l'atteinte a été de trois vertebres et plus. 8 cas de paraplé-gie complète ont été notés toujours accompagnés par la dysfonction des organes du bassin. Les problémes moteurs sont observés le plus souvent dans les cas de la lésion des vertebres T4-T5. La gravité des troubles neurologiques dépend de la sténose du canal rachiden. On ne trouve pas de relation directe entre la caractère de la myelopathie et l'importance de la cyphose. La radiculopathie est observée très rarement chez les enfants souffrant du mal de Pott.

show abstract

“…Of these, only ten (including our patient), were located at the PSA (radiculopial), two were located at a radicular artery, in two cases, the exact location was not specified, and, in the remaining 20 patients, the aneurysm was located on the ASA (radiculomedullary). 5 Association of infectious or inflammatory conditions such as syphilis, pseudoxanthoma elasticum, fibromuscular dysplasia, Behcet's disease and systemic candidiosis 2 were reported in 5 of 20 patients with aneurysms on the ASA axis. 5 No such association has been reported for aneurysms on the PSA axis.…”

Section: Discussionmentioning

confidence: 99%

Subarachnoid Hemorrhage Following Posterior Spinal Artery Aneurysm Rupture

Shankar¹,

terBrugge

Krings

2012

Can. J. Neurol. Sci.

View full text Add to dashboard Cite

Subarachnoid hemorrhage (SAH) with spinal etiology is present in less than 1% of all cases with SAH. 1 The most frequent cause of spinal SAH is rupture of spinal cord pial arterio-venous malformations (ScAVMs) followed by hemorrhage from highly vascular spinal tumors such as ependymoma or hemangioblastoma. Aneurysms arising from spinal arteries are extremely rare with an incidence of about one in more than 3,000 spinal angiograms. 2 Spinal aneurysms are usually flow related aneurysms associated with ScAVM 3 and less commonly in dural arterio-venous fistulas (DAVF) 4 and in patients with coarctation of the aorta, bilateral vertebral occlusion or Moya-moya disease in whom the anterior spinal artery (ASA) serves as collateral supply. Isolated aneurysms not associated with these conditions are very rare. 5 We report a case of isolated ruptured radiculopial artery aneurysm presenting with spinal SAH. CASE REPORTA 72-years-old female presented with sudden onset of the worst back pain of her life while sitting on a chair. The pain was localized to the thoraco-lumbar region with radiation to both lower limbs and exacerbation with motion. She had a positive Lasègue sign with no sensory disturbances, bowel or bladder disturbances or motor weaknesses and no headaches.Magnetic resonance imaging (MRI) of spine showed T1 and T2 hyper-intensity in the lumbo-sacral thecal sac suggestive of SAH ( Figures A, B, C). There was no spinal cord signal abnormality or perimedullary flow voids. There was a focal T1 and T2 hypo-intense lesion in the antero-lateral aspect of the spinal canal at the level of T12-L1 inter-vertebral disc. This lesion showed subtle eccentric nodular enhancement on post contrast T1 images. Spinal MR angiogram was negative for a shunting lesion with no prominent vessels.The differential diagnoses included: a slow flow or partially thrombosed ScAVM (despite the absence of prominent vessels); a spinal eccentric cavernoma (despite the focal contrast enhancement and the subarachnoid hemorrhage without intramedullary component); a spinal artery aneurysm, and vasculitis. A conventional spinal angiogram was recommended.Spinal angiography was performed under general anesthesia and included selective catheterization of segmental arteries T8-L4 bilaterally. The left L1 segmental artery angiogram showed the major supply to the ASA axis (radiculomedullary supply, the so-called artery of Adamkiewicz), no venous stagnation, with narrowing of the artery possibly related to vasospasm.

show abstract

Angiography in Angiomas of the Spinal Cord

Cited by 34 publications

References 0 publications

Stab wound of the back causing an acute subdural haematoma and a Brown–Sequard neurological syndrome

Stab wound of the back causing an acute subdural haematoma and a Brown–Sequard neurological syndrome

Neurological complications of spinal tuberculosis in children

Subarachnoid Hemorrhage Following Posterior Spinal Artery Aneurysm Rupture

Contact Info

Product

Resources

About