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Angiographic characteristics and treatment of cervical spinal dural arteriovenous shunts

Authors
 D.J. Kim  ;  R. Willinsky  ;  S. Geibprasert  ;  T. Krings  ;  C. Wallace  ;  F. Gentili  ;  K. terBrugge 
Citation
 AMERICAN JOURNAL OF NEURORADIOLOGY, Vol.31(8) : 1512-1515, 2010 
Journal Title
 AMERICAN JOURNAL OF NEURORADIOLOGY 
ISSN
 0195-6108 
Issue Date
2010
MeSH
Adult ; Aged ; Angiography* ; Central Nervous System Vascular Malformations/diagnostic imaging* ; Central Nervous System Vascular Malformations/surgery ; Central Nervous System Vascular Malformations/therapy* ; Cervical Vertebrae* ; Databases, Factual ; Female ; Humans ; Male ; Middle Aged ; Pia Mater/blood supply ; Spinal Cord/blood supply* ; Treatment Outcome
Abstract
Spinal DAVSs of the cervical level are rare lesions. The purpose of this study is to describe the clinical and angiographic characteristics of cervical spinal DAVSs. From a prospectively collected database including 449 cases of brain and spinal DAVSs, lesions located at the cervical level were selected. The clinical presentation, angiographic characteristics, and treatment outcome were assessed. Twelve cases of spinal DAVSs were identified at the level of the cervical spinal canal (male to female ratio = 8:4; mean age = 56.5 years). Five patients (41.7%) presented with hemorrhage including SAH (n = 4) and cerebellar hemorrhage (n = 1). Coincidental spinal DAVSs with cranial DAVSs or brain AVMs were noted in 5 cases (41.7%). The spinal DAVS was the symptomatic lesion in 10 cases and was incidentally discovered during evaluation for SAH from a coincidental lesion in 2 cases. Combined endovascular and surgical resection resulted in symptomatic improvement in 10 patients. In conclusion, DAVSs of the cervical spine are rare lesions which often present with hemorrhage and are frequently associated with complex coincidental vascular lesions. Combined endovascular and surgical treatment will result in good outcome.
Files in This Item:
T201005060.pdf Download
DOI
10.3174/ajnr.A2109
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Joon(김동준) ORCID logo https://orcid.org/0000-0002-7035-087X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/102960
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