Dural arteriovenous malformations of the spine

Clinical features and surgical results in 55 cases

Lindsay Symon T.D., F.R.C.S. 1 , Hideyuki Kuyama M.D. 1 , and Brian Kendall F.R.C.P., F.R.C.R. 1
View More View Less
  • 1 Gough Cooper Department of Neurological Surgery, Institute of Neurology, and Department of Neuroradiology, The National Hospital, Queen Square, London, England
Restricted access

Purchase Now

USD  $45.00

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

USD  $505.00

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

USD  $600.00
Print or Print + Online

✓ The clinical and angiographic findings of 55 patients with a spinal dural arteriovenous malformation (AVM) are reviewed, and the results of surgery assessed. The symptoms of dural AVM are usually gradual in onset, and hemorrhage from this type of AVM is less common than in true spinal cord angiomas. Other clinical features and the myelographic findings are similar to those of spinal cord angiomas. On angiography, the nidus of dural AVM's usually projected lateral to the spinal cord. Clipping of communicating vessels between the AVM and the coronal plexus was carried out in 50 patients, and decompressive laminectomy only in five cases. Surgery led to improvement of disturbed gait or arrest of a previously progressive course in 85% of those managed by clipping communicating vessels. The pathophysiology and surgical treatment of dural AVM's are discussed.

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

USD  $505.00

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

USD  $600.00

Contributor Notes

Address reprint requests to: Lindsay Symon, T.D., F.R.C.S., Gough Cooper Department of Neurological Surgery, Institute of Neurology, The National Hospital, Queen Square, London WC1N 3BG, England.
  • 1.

    Aminoff MJ, , Barnard RO, & Logue V: The pathophysiology of spinal vascular malformations. J Neurol Sci 23:255263, 1974 Aminoff MJ, Barnard RO, Logue V: The pathophysiology of spinal vascular malformations. J Neurol Sci 23:255–263, 1974

    • Search Google Scholar
    • Export Citation
  • 2.

    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
  • 3.

    Aminoff MJ, & Logue V: The prognosis of patients with spinal vascular malformations. Brain 97:211218, 1974 Aminoff MJ, Logue V: The prognosis of patients with spinal vascular malformations. Brain 97:211–218, 1974

    • Search Google Scholar
    • Export Citation
  • 4.

    Di Chiro G, , Doppman JL, & Ommaya AK: Radiology of spinal cord arteriovenous malformations, in Krayenbühl H, , Maspes PE, & Sweet WH (eds): Progress in Neurological Surgery. Basel/München/Paris: S Karger, 1971, Vol 4, pp 329354 Di Chiro G, Doppman JL, Ommaya AK: Radiology of spinal cord arteriovenous malformations, in Krayenbühl H, Maspes PE, Sweet WH (eds): Progress in Neurological Surgery. Basel/München/Paris: S Karger, 1971, Vol 4, pp 329–354

    • Search Google Scholar
    • Export Citation
  • 5.

    Doppman JL: The nidus concept of spinal cord arteriovenous formations. A surgical recommendation based upon angiographic observations. Br J Radiol 44:758763, 1971 Doppman JL: The nidus concept of spinal cord arteriovenous formations. A surgical recommendation based upon angiographic observations. Br J Radiol 44:758–763, 1971

    • Search Google Scholar
    • Export Citation
  • 6.

    Jellinger K, & Neumayer E: Claudication of the spinal cord and cauda equina, in Vinken PJ, & Bruyn GW (eds): Vascular Diseases of the Nervous System, Part II. Handbook of Clinical Neurology, Vol 12. Amsterdam: North-Holland, 1972, pp 507547 Jellinger K, Neumayer E: Claudication of the spinal cord and cauda equina, in Vinken PJ, Bruyn GW (eds): Vascular Diseases of the Nervous System, Part II. Handbook of Clinical Neurology, Vol 12. Amsterdam: North-Holland, 1972, pp 507–547

    • Search Google Scholar
    • Export Citation
  • 7.

    Kendall BE, & Logue V: Spinal epidural angiomatous malformations draining into intrathecal veins. Neuroradiology 13:181189, 1977 Kendall BE, Logue V: Spinal epidural angiomatous malformations draining into intrathecal veins. Neuroradiology 13:181–189, 1977

    • Search Google Scholar
    • Export Citation
  • 8.

    Krayenbühl H, & Yaşargil MG: Die Varicosis spinalis und ihre Behandlung. Schweiz Arch Neurol Neurochir Psychiatr 92:7492, 1963 Krayenbühl H, Yaşargil MG: Die Varicosis spinalis und ihre Behandlung. Schweiz Arch Neurol Neurochir Psychiatr 92:74–92, 1963

    • Search Google Scholar
    • Export Citation
  • 9.

    Krayenbühl H, , Yaşargil MG, & McClintock HG: Treatment of spinal cord vascular malformations by surgical excision. J Neurosurg 30:427435, 1969 Krayenbühl H, Yaşargil MG, McClintock HG: Treatment of spinal cord vascular malformations by surgical excision. J Neurosurg 30:427–435, 1969

    • Search Google Scholar
    • Export Citation
  • 10.

    Logue V, , Aminoff MJ, & Kendall BE: Results of surgical treatment for patients with a spinal angioma. J Neurol Neurosurg Psychiatry 37:10741081, 1974 Logue V, Aminoff MJ, Kendall BE: Results of surgical treatment for patients with a spinal angioma. J Neurol Neurosurg Psychiatry 37:1074–1081, 1974

    • Search Google Scholar
    • Export Citation
  • 11.

    Merland JJ, , Riche MC, & Chiras J: Intraspinal extramedullary arteriovenous fistula draining into the medullary veins. J Neuroradiol 7:271320, 1980 Merland JJ, Riche MC, Chiras J: Intraspinal extramedullary arteriovenous fistula draining into the medullary veins. J Neuroradiol 7:271–320, 1980

    • Search Google Scholar
    • Export Citation
  • 12.

    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
  • 13.

    Odom GL: Vascular lesions of the spinal cord: malformations, spinal subarachnoid and extradural hemorrhage. Clin Neurosurg 8:196236, 1962 Odom GL: Vascular lesions of the spinal cord: malformations, spinal subarachnoid and extradural hemorrhage. Clin Neurosurg 8:196–236, 1962

    • Search Google Scholar
    • Export Citation
  • 14.

    Pia HW: Diagnosis and treatment of spinal angiomas. Acta Neurochir 28:112, 1973 Pia HW: Diagnosis and treatment of spinal angiomas. Acta Neurochir 28:1–12, 1973

    • Search Google Scholar
    • Export Citation
  • 15.

    Pia HW: Operative treatment of arteriovenous malformations of the spinal cord, in Carrea R, & Le Vay D (eds): Neurological Surgery, with Special Emphasis on Non-Invasive Methods of Diagnosis and Treatment. Amsterdam: Excerpta Medica, 1978, pp 203209 Pia HW: Operative treatment of arteriovenous malformations of the spinal cord, in Carrea R, Le Vay D (eds): Neurological Surgery, with Special Emphasis on Non-Invasive Methods of Diagnosis and Treatment. Amsterdam: Excerpta Medica, 1978, pp 203–209

    • Search Google Scholar
    • Export Citation
  • 16.

    Pia HW, & Vogelsang H: Diagnose und Therapie spinaler Angiome. Deutsch Z Nervenheilk 187:7496, 1965 Pia HW, Vogelsang H: Diagnose und Therapie spinaler Angiome. Deutsch Z Nervenheilk 187:74–96, 1965

    • Search Google Scholar
    • Export Citation
  • 17.

    Shephard RH: Observations on intradural spinal angioma: treatment by excision. Neurochirurgia (Stuttg) 6:5874, 1963 Shephard RH: Observations on intradural spinal angioma: treatment by excision. Neurochirurgia (Stuttg) 6:58–74, 1963

    • Search Google Scholar
    • Export Citation
  • 18.

    Shephard RH: Some new concepts in intradural spinal angioma. Riv Patol Nerv Ment 86:276283, 1965 Shephard RH: Some new concepts in intradural spinal angioma. Riv Patol Nerv Ment 86:276–283, 1965

    • Search Google Scholar
    • Export Citation
  • 19.

    Smith AJK, , McCreedy DB, & Bloedel JR, et al: Hyperemia, CO2 responsiveness, and autoregulation in the white matter following experimental spinal cord injury. J Neurosurg 48:239251, 1978 Smith AJK, McCreedy DB, Bloedel JR, et al: Hyperemia, CO2 responsiveness, and autoregulation in the white matter following experimental spinal cord injury. J Neurosurg 48:239–251, 1978

    • Search Google Scholar
    • Export Citation
  • 20.

    Umbach W: Klinik und Verlauf bei 192 spinalen Prozessen mit besonderer Berücksichtigung der Gefasstumoren. Acta Neurochir 10:167193, 1962 Umbach W: Klinik und Verlauf bei 192 spinalen Prozessen mit besonderer Berücksichtigung der Gefasstumoren. Acta Neurochir 10:167–193, 1962

    • Search Google Scholar
    • Export Citation
  • 21.

    Umbach W, & Kunft HD: Vascular tumours of the spinal cord, in Vinken PJ, & Bruyn GW (eds): Tumours of the Spine and Spinal Cord, Part II. Handbook of Clinical Neurology, Vol 20. Amsterdam: North-Holland, 1976, pp 435480 Umbach W, Kunft HD: Vascular tumours of the spinal cord, in Vinken PJ, Bruyn GW (eds): Tumours of the Spine and Spinal Cord, Part II. Handbook of Clinical Neurology, Vol 20. Amsterdam: North-Holland, 1976, pp 435–480

    • Search Google Scholar
    • Export Citation
  • 22.

    Yaşargil MG: Diagnosis and treatment of spinal cord arteriovenous malformations, in Krayenbühl H, , Maspes PE, & Sweet WH (eds): Progress in Neurological Surgery. Basel/München/Paris: S Karger, 1971, Vol 4, pp 355428 Yaşargil MG: Diagnosis and treatment of spinal cord arteriovenous malformations, in Krayenbühl H, Maspes PE, Sweet WH (eds): Progress in Neurological Surgery. Basel/München/Paris: S Karger, 1971, Vol 4, pp 355–428

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 384 115 2
Full Text Views 240 7 0
PDF Downloads 113 7 0
EPUB Downloads 0 0 0