Pial-Medullary Angiomas

Abstract

THE OCCURRENCE of vascular anomalies of the central nervous system is well known and extensively treated in the literature. We are interested in presenting a discussion of those peculiar to the spinal cord and its most intimate covering, the pia-arachnoid.1 Nine cases are presented. We wish to show that these lesions can be suspected and diagnosed clinically on the basis of certain characteristic presenting features which in and of themselves may appear to be atypical. We wish, further, to point out that with the use of contrast roentgenography some of these lesions can be diagnosed with greater certainty before operation.2 Recently an excellent work with particular reference to the number of cases reported (67) was compiled by Wyburn-Mason.2d REPORT OF CASES Case 1.\p=m-\Awhite man aged 27 was first admitted to the University Hospital on Jan. 30, 1938, with the questionable diagnosis of multiple sclerosis. His subjective complaints were those of weakness of both lower extremities and a staggering gait. The essential findings on examination were mild weakness of both lower extremities, with generalized hyperactive deep reflexes and extensor plantar responses bilaterally. There were some distal hypesthesia in the distribution of the first and second lumbar segments and diminution of appreciation of vibratory stimuli up to the level of the twelfth dorsal segment bilaterally.

Vascular Malformations of the Spinal Cord

“…Vascular malformations in the ccntral nervous system arc mainly localized to the brain, less frequently to the spinal cord. Detailed dcscriptions of their clinical symptoms and pathology havc been published by several authors (Arseni et al 1959, Brion et al 1952, Elsberg 1916, Epstein et al 1949, Globus et al 1929, Krayenbiihl et al 1957, Newman 1959, O d o m et al 1957, Therkelsen 1958, T r u p p et al 1948, Turner et al 1941, Vraa-Jensen 1949, Wyburn-Mason 1943, and small series or single cases have also been rcported ( A n t o n i 1962, Balck 1900, Bassett et al 1949, Bergstrand et al 1936, Brasch 1900, Chaptal et al 1950, Christensen et al 1954, Cross 1947, Delmal-Marsalet 1941, DiChiro 1957, Fincher 1951, Gilbert 1962, Girard et al 1955, Guillaume et al 1957, Haberland 1950, Hiiiik et al 1958, Jackson 1957, Kissel et al 1958, Matthews 1959, Newman 1958, Niiel 1956, Pouyanne e t (11. 1950, Silverman 1945-46, Suter-Lochmaffcr 1950, Thurel et al 1955.…”

Vascular Malformations of the Spinal Cord

“…Vascular malformations in the ccntral nervous system arc mainly localized to the brain, less frequently to the spinal cord. Detailed dcscriptions of their clinical symptoms and pathology havc been published by several authors (Arseni et al 1959, Brion et al 1952, Elsberg 1916, Epstein et al 1949, Globus et al 1929, Krayenbiihl et al 1957, Newman 1959, O d o m et al 1957, Therkelsen 1958, T r u p p et al 1948, Turner et al 1941, Vraa-Jensen 1949, Wyburn-Mason 1943, and small series or single cases have also been rcported ( A n t o n i 1962, Balck 1900, Bassett et al 1949, Bergstrand et al 1936, Brasch 1900, Chaptal et al 1950, Christensen et al 1954, Cross 1947, Delmal-Marsalet 1941, DiChiro 1957, Fincher 1951, Gilbert 1962, Girard et al 1955, Guillaume et al 1957, Haberland 1950, Hiiiik et al 1958, Jackson 1957, Kissel et al 1958, Matthews 1959, Newman 1958, Niiel 1956, Pouyanne e t (11. 1950, Silverman 1945-46, Suter-Lochmaffcr 1950, Thurel et al 1955.…”

Vascular Malformations of the Spinal Cord

“…Vascular malformations in the ccntral nervous system arc mainly localized to the brain, less frequently to the spinal cord. Detailed dcscriptions of their clinical symptoms and pathology havc been published by several authors (Arseni et al 1959, Brion et al 1952, Elsberg 1916, Epstein et al 1949, Globus et al 1929, Krayenbiihl et al 1957, Newman 1959, O d o m et al 1957, Therkelsen 1958, T r u p p et al 1948, Turner et al 1941, Vraa-Jensen 1949, Wyburn-Mason 1943, and small series or single cases have also been rcported ( A n t o n i 1962, Balck 1900, Bassett et al 1949, Bergstrand et al 1936, Brasch 1900, Chaptal et al 1950, Christensen et al 1954, Cross 1947, Delmal-Marsalet 1941, DiChiro 1957, Fincher 1951, Gilbert 1962, Girard et al 1955, Guillaume et al 1957, Haberland 1950, Hiiiik et al 1958, Jackson 1957, Kissel et al 1958, Matthews 1959, Newman 1958, Niiel 1956, Pouyanne e t (11. 1950, Silverman 1945-46, Suter-Lochmaffcr 1950, Thurel et al 1955.…”

Vascular Malformations of the Spinal Cord

“…Vascular malformations in the ccntral nervous system arc mainly localized to the brain, less frequently to the spinal cord. Detailed dcscriptions of their clinical symptoms and pathology havc been published by several authors (Arseni et al 1959, Brion et al 1952, Elsberg 1916, Epstein et al 1949, Globus et al 1929, Krayenbiihl et al 1957, Newman 1959, O d o m et al 1957, Therkelsen 1958, T r u p p et al 1948, Turner et al 1941, Vraa-Jensen 1949, Wyburn-Mason 1943, and small series or single cases have also been rcported ( A n t o n i 1962, Balck 1900, Bassett et al 1949, Bergstrand et al 1936, Brasch 1900, Chaptal et al 1950, Christensen et al 1954, Cross 1947, Delmal-Marsalet 1941, DiChiro 1957, Fincher 1951, Gilbert 1962, Girard et al 1955, Guillaume et al 1957, Haberland 1950, Hiiiik et al 1958, Jackson 1957, Kissel et al 1958, Matthews 1959, Newman 1958, Niiel 1956, Pouyanne e t (11. 1950, Silverman 1945-46, Suter-Lochmaffcr 1950, Thurel et al 1955.…”