Spinal cord vascular malformations with symptoms during menstruation

Report of two cases

View More View Less
  • 1 Mayo Clinic and Mayo Foundation, Rochester, Minnesota, and Rochester, New York
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $515.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $612.00
Print or Print + Online

✓ Two patients had the initial complaint of fluctuating paraparesis, which was most evident at menstruation. One patient had a semimonthly fluctuating deficit. Spinal cord compression and ischemia, secondary to the vascular mass, were considered the most likely mechanisms. Blood levels of estrogen and progesterone during the menstrual cycle may have had a contributory effect. Fluctuating spinal cord deficits associated with a consistent portion of the menstrual cycle should alert the physician to the possibility of an arteriovenous malformation of the spinal cord.

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $515.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $612.00
  • 1.

    Aminoff MJ, & Logue V: Clinical features of spinal vascular malformations. Brain 97:197210, 1974 Aminoff MJ, Logue V: Clinical features of spinal vascular malformations. Brain 97:197–210, 1974

    • Search Google Scholar
    • Export Citation
  • 2.

    Beraud R: Vascular malformations of the spinal cord, in Vinken PJ, & Bruyn GW (eds): Handbook of Clinical Neurology, Volume 12. Vascular Diseases of the Nervous System, Part II. Amsterdam: North-Holland, 1972, pp 548555 Beraud R: Vascular malformations of the spinal cord, in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology, Volume 12. Vascular Diseases of the Nervous System, Part II. Amsterdam: North-Holland, 1972, pp 548–555

    • Search Google Scholar
    • Export Citation
  • 3.

    Epstein JA, , Beller AJ, & Cohen I: Arterial anomalies of the spinal cord. J Neurosurg 6:4556, 1949 Epstein JA, Beller AJ, Cohen I: Arterial anomalies of the spinal cord. J Neurosurg 6:45–56, 1949

    • Search Google Scholar
    • Export Citation
  • 4.

    Fields WS, & Jones JR: Spinal epidural in hemangioma in pregnancy. Neurology 7:825828, 1957 Fields WS, Jones JR: Spinal epidural in hemangioma in pregnancy. Neurology 7:825–828, 1957

    • Search Google Scholar
    • Export Citation
  • 5.

    Kaufman HH, , Ommaya AK, & Di Chiro G, et al: Compression vs “steal.” The pathogenesis of symptoms in arteriovenous malformations of the spinal cord. Arch Neurol 23:173178, 1970 Kaufman HH, Ommaya AK, Di Chiro G, et al: Compression vs “steal.” The pathogenesis of symptoms in arteriovenous malformations of the spinal cord. Arch Neurol 23:173–178, 1970

    • Search Google Scholar
    • Export Citation
  • 6.

    Lam RL, , Roulhac GE, & Erwin HJ: Hemangioma of the spinal canal and pregnancy. J Neurosurg 8:668671, 1951 Lam RL, Roulhac GE, Erwin HJ: Hemangioma of the spinal canal and pregnancy. J Neurosurg 8:668–671, 1951

    • Search Google Scholar
    • Export Citation
  • 7.

    McCausland AM, , Holmes F, & Trotter AD Jr: Venous distensibility during the menstrual cycle. Am J Obstet Gynecol 86:640643, 1963 McCausland AM, Holmes F, Trotter AD Jr: Venous distensibility during the menstrual cycle. Am J Obstet Gynecol 86:640–643, 1963

    • Search Google Scholar
    • Export Citation
  • 8.

    Nelson DA: Spinal cord compression due to vertebral angiomas during pregnancy. Arch Neurol 11:408413, 1964 Nelson DA: Spinal cord compression due to vertebral angiomas during pregnancy. Arch Neurol 11:408–413, 1964

    • Search Google Scholar
    • Export Citation
  • 9.

    Newman MJD: Spinal angioma with symptoms in pregnancy. J Neurol Neurosurg Psychiatry 21:3841, 1958 Newman MJD: Spinal angioma with symptoms in pregnancy. J Neurol Neurosurg Psychiatry 21:38–41, 1958

    • Search Google Scholar
    • Export Citation
  • 10.

    Newquist RE, & Mayfield FH: Spinal angioma presenting during pregnancy. J Neurosurg 17:541545, 1960 Newquist RE, Mayfield FH: Spinal angioma presenting during pregnancy. J Neurosurg 17:541–545, 1960

    • Search Google Scholar
    • Export Citation
  • 11.

    Nocenti MR: Reproduction, in Mountcastle VB (ed): Medical Physiology, ed 12. St. Louis: CV Mosby, 1968, Vol 1, pp 9921028 Nocenti MR: Reproduction, in Mountcastle VB (ed): Medical Physiology, ed 12. St. Louis: CV Mosby, 1968, Vol 1, pp 992–1028

    • Search Google Scholar
    • Export Citation
  • 12.

    Pappenheim E: Angioma racemosum des Cervicalmarks und Hämatomyelie. Dtsch Z Nervenheilk 146:284293, 1938 Pappenheim E: Angioma racemosum des Cervicalmarks und Hämatomyelie. Dtsch Z Nervenheilk 146:284–293, 1938

    • Search Google Scholar
    • Export Citation
  • 13.

    Reynolds SRM, & Foster FI: Peripheral vascular action of estrogen, observed in the ear of the rabbit. J Pharmacol Exp Ther 68:173184, 1940 Reynolds SRM, Foster FI: Peripheral vascular action of estrogen, observed in the ear of the rabbit. J Pharmacol Exp Ther 68: 173–184, 1940

    • Search Google Scholar
    • Export Citation
  • 14.

    Sargent P: Haemangeioma of the pia mater causing compression paraplegia. Brain 48:259267, 1925 Sargent P: Haemangeioma of the pia mater causing compression paraplegia. Brain 48:259–267, 1925

    • Search Google Scholar
    • Export Citation
  • 15.

    Schiff M, & Burn HF: The effect of intravenous estrogens on ground substance. Arch Otolaryngol 73:4351, 1961 Schiff M, Burn HF: The effect of intravenous estrogens on ground substance. Arch Otolaryngol 73:43–51, 1961

    • Search Google Scholar
    • Export Citation
  • 16.

    Siekert RG: Clinical aspects of vascular disease of the spinal cord, in Toole JF, , Moossy J, & Janeway R (eds): Cerebral Vascular Diseases. New York: Grune and Stratton, 1971, Vol 7, pp 2532 Siekert RG: Clinical aspects of vascular disease of the spinal cord, in Toole JF, Moossy J, Janeway R (eds): Cerebral Vascular Diseases. New York: Grune and Stratton, 1971, Vol 7, pp 25–32

    • Search Google Scholar
    • Export Citation
  • 17.

    Wyburn-Mason R: The Vascular Abnormalities and Tumours of the Spinal Cord and its Membranes. London: Henry Kimpton, 1944 Wyburn-Mason R: The Vascular Abnormalities and Tumours of the Spinal Cord and its Membranes. London: Henry Kimpton, 1944

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 395 113 7
Full Text Views 165 4 0
PDF Downloads 69 2 0
EPUB Downloads 0 0 0