Abstract:
:Spinal vascular malformations are rare diseases that consist of true inborn cavernomas and arteriovenous malformations (including perimedullary fistulae, glomerular and juvenile AVMs) and presumably acquired dural arteriovenous fistulae. This review article gives an overview of the imaging features both on MRI and angiography, the differential diagnoses, the clinical symptomatology and the potential therapeutic approaches to these diseases. It is concluded that MRI is the diagnostic modality of first choice in suspected spinal vascular malformation and should be complemented by selective spinal angiography. Treatment in symptomatic patients offers an improvement in the prognosis, but should be performed in specialized centers. Patients with spinal cord cavernomas and perimedullary fistulae type I are surgical candidates. Dural arteriovenous fistulae can either be operated upon or can be treated by an endovascular approach, the former being a simple, quick and secure approach to obliterate the fistula, while the latter is technically demanding. In spinal arteriovenous malformations, the endovascular approach is the method of first choice; in selected cases, a combined therapy might be sensible.
journal_name
Eur Radioljournal_title
European radiologyauthors
Krings T,Mull M,Gilsbach JM,Thron Adoi
10.1007/s00330-004-2510-2subject
Has Abstractpub_date
2005-02-01 00:00:00pages
267-78issue
2eissn
0938-7994issn
1432-1084journal_volume
15pub_type
杂志文章,评审abstract::We report the case of a man in which a Hodgkin's lymphoma involved the ureter as the very first clinical situs of the disease. Ureteral involvement in lymphomas is very rare (0.86%-7% and 1%-16%, found in two studies, respectively, of cases of patients with lymphoma examined post mortem) and when it does occur it is s...
journal_title:European radiology
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journal_title:European radiology
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journal_title:European radiology
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pub_type: 临床试验,杂志文章
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journal_title:European radiology
pub_type: 杂志文章,评审
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