Abstract
Vascular disorders of the spine and spinal cord are often complex problems with different clinical presentations such as sudden-onset or slowly progressive paresis and pain, mostly due to venous or arterial ischemia and/or hemorrhage. Clinical neuroradiology plays an important role in establishing a timely diagnosis and considering an efficient endovascular treatment. The differential encompasses inflammatory diseases, and radiological techniques such as MRI, CTA, and catheter angiography are useful for diagnosis and planning treatment. In this chapter, we will briefly overview common clinical presentations of patients with spinal vascular problems after reviewing the normal intrinsic and extrinsic vascularization of the spine and the spinal cord and then focus on different types of vascular disorders, their differential diagnosis, and possible endovascular treatments.
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Abbreviations
- ARMA:
-
Anterior radiculomedullary artery (radiculomedullary artery)
- ARMV:
-
Anterior radiculomedullary vein
- ASA:
-
Anterior spinal artery
- ASV:
-
Anterior spinal vein
- AVF:
-
Arteriovenous fistula
- AVM:
-
Arteriovenous malformation
- CBCTA:
-
Cone-beam computed tomography angiography
- CMs:
-
Cavernous malformations
- CTA:
-
Computed tomography angiography
- DSA:
-
Digital subtraction angiography
- DWI:
-
Diffusion-weighted imaging
- MRA:
-
Magnetic resonance angiography
- PRMA:
-
Posterior radiculomedullary artery (radiculopial artery)
- PRMV:
-
Posterior radiculomedullary vein
- PSA/PLSA:
-
Posterior/posterolateral spinal artery
- PSV:
-
Posterior spinal vein
- SCI:
-
Spinal cord infarction
References
Amarouche M, Hart JL, Siddiqui A, Hampton T, Walsh DC. Time-resolved contrast-enhanced MR angiography of spinal vascular malformations. AJNR Am J Neuroradiol. 2015;36:417–22.
Badhiwala JH, Farrokhyar F, Alhazzani W, Yarascavitch B, Aref M, Algird A, et al. Surgical outcomes and natural history of intramedullary spinal cord cavernous malformations: a single-center series and meta-analysis of individual patient data. J Neurosurg Spine. 2014;21:662–76.
Krings T. Vascular malformations of the spine and spinal cord. Clin Neuroradiol. 2010;20:5–24.
Lu DC, Lawton MT. Clinical presentation and surgical management of intramedullary spinal cord cavernous malformations. Neurosurg Focus. 2010;29:E12.
Rubin MN, Rabinstein AA. Vascular diseases of the spinal cord. Neurol Clin. 2013;31:153–81.
Sandson TA, Friedman JH. Spinal cord infarction. Report of 8 cases and review of the literature. Medicine (Baltimore). 1989;68:282–92.
Takai K. Spinal arteriovenous shunts: angioarchitecture and historical changes in classification. Neurol Med Chir (Tokyo). 2017;57:356–65.
Further Reading
Bosmia AN, Hogan E, Loukas M, Tubbs RS, Cohen-Gadol AA. Blood supply to the human spinal cord: Part I. Anatomy and hemodynamics. Clin Anat. 2015;28:52–64.
Clark AJ, Wang DD, Lawton MT. Spinal cavernous malformations. Handb Clin Neurol. 2017;143:303–8.
Krings T, Lasjaunias PL, Hans FJ, Mull M, Nijenhuis RJ, Alvarez H, et al. Imaging in spinal vascular disease. Neuroimaging Clin N Am. 2007;17:57–72.
Krings T, Mull M, Gilsbach JM, Thron A. Spinal vascular malformations. Eur Radiol. 2005;15:267–78.
Krings T. Vascular malformations of the spine and spinal cord∗. Clin Neuroradiol. 2010;20:5–24.
Nasr DM, Rabinstein A. Spinal cord infarcts: risk factors, management, and prognosis. Curr Treat Options Neurol. 2017;19:28.
Ozpinar A, Weiner GM, Ducruet AF. Epidemiology, clinical presentation, diagnostic evaluation, and prognosis of spinal arteriovenous malformations. Handb Clin Neurol. 2017;143:145–52.
Singh R, Lucke-Wold B, Gyure K, Boo S. A review of vascular abnormalities of the spine. Ann Vasc Med Res. 2016;3(4). pii: 1045. Epub 2016 Dec 21.
Takai K. Spinal arteriovenous shunts: angioarchitecture and historical changes in classification. Neurol Med Chir (Tokyo). 2017;57:356–65.
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Islak, C., Kocer, N. (2019). Imaging of Vascular Disorders of the Spine and Spinal Cord. In: Barkhof, F., Jäger, H., Thurnher, M., Rovira, À. (eds) Clinical Neuroradiology. Springer, Cham. https://doi.org/10.1007/978-3-319-68536-6_42
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DOI: https://doi.org/10.1007/978-3-319-68536-6_42
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