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Spinal Vascular Malformations and Ischemic Lesions of the Spinal Cord

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Neurocritical Care

Abstract

Acute paraplegia of vascular origin is one of the most serious emergencies in neurology. It is usually the result of spinal cord ischemia rather than bleeding. The ratio of cerebral ischemia to spinal ischemia varies from center to center (depending on whether open heart surgery is done at the center) but in general is 10:0.3. For neurocritical care, the most important syndromes are the anterior spinal artery syndrome and the radicular magna artery syndrome.

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Suggested Reading

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

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  • Anderson DK, Behbehani MM, Means ED (1983) Susceptibility of feline spinal cord energy metabolism to severe incomplete ischemia. Neurology (NY) 33: 722–731

    Article  CAS  Google Scholar 

  • Bien S, Voigt K (1993) Spinale vaskuläre Malformationen und interventionelle Neuroradiologie im Spinalbereich. In: Therapie und Verlauf neurologischer Erkrankungen (Hrgb.: Th Brandt, J Dichgans, HCH Diener) Kohlhammer Stuttgart, 2. Auflage, pp 451–460

    Google Scholar 

  • Brandt M (1980) Spontaneous intramedullary haematoma as a complication of anticoagulant therapy. Acta Neurochir (Wien) 52: 73–77

    Article  CAS  Google Scholar 

  • Brosch T, Kölmel HW, Christe W (1990) Akute spinale Ischaemie bei Erkrankungen der Aorta. Nervenarzt 61: 231–234

    PubMed  CAS  Google Scholar 

  • Brückmann H (1992) Vaskuläre Erkankungen des Spinalkanals. In: Uhlenbrock D (ed) Kernspintomographie der Wirbelsäule und des Spinalkanals. Springer, Berlin Heidelberg New York, pp 389–401

    Google Scholar 

  • Buchan AM, Barnett HJM (1986) Infarction of the spinal cord. In: Barnett HJM, Mohr JP, Stein BM (eds) Stroke: pathophysiology, diagnosis and management. Livingstone, New York, pp 707–719

    Google Scholar 

  • Bühlmann AA (1985) Dekompressionskrankheit des Rückenmarks. Resultate der Früh- und Spätbehandlung. Schweiz Med Wochenschr 115: 796–800

    PubMed  Google Scholar 

  • Byrne ThN, Waxman SG (1990) Spinal cord compression. Davis Company, Philadelphia

    Google Scholar 

  • Caroscio JT, Brannan T, Budabin M et al. (1980) Subarachnoid hemorrhage secondary to spinal arteriovenous malformation and aneurysm. Arch Neurol 37: 101–103

    Article  PubMed  CAS  Google Scholar 

  • Collmann H, Rimpau W (1978) Raumforderndes spinales subarachnoidales Hämatom nach Lumbalpunktion. Nervenarzt 49: 605–608

    PubMed  CAS  Google Scholar 

  • Critchley E, Eisen A (1992) Diseases of the spinal cord. Springer, Berlin Heidelberg New York

    Book  Google Scholar 

  • Djindjian R (1972) Neuroradiological examination of spinal cord angiomas. In: Vinken PJ, Bruyn GW (eds) Handbook of clinical neurology, vol 12/2. Elsevier, Amsterdam, pp 631–643

    Google Scholar 

  • Djindjian M (1978) Clinical symptomatology and natural history of arteriovenous malformations of the spinal cord. In: Pia HW, Djiandjian R (eds) Spinal angiomas — advances in diagnosis and therapy. Springer, Berlin Heidelberg New York, pp 75–83

    Chapter  Google Scholar 

  • Ferbert A (1986) Akute Rückenmarkskrankheiten. In: Hacke W (ed) Neurologische Intensivmedizin. Perimed, Erlangen, pp 194–201

    Google Scholar 

  • Flaschka G, Sutter B, Ebner et al. (1990) Das spinale Epiduralhämatom. Nervenarzt 61: 629–633

    PubMed  CAS  Google Scholar 

  • Foo D, Rossier AB (1983) Anterior spinal artery syndrome and its natural history. Paraplegia 21: 1–10

    Article  PubMed  CAS  Google Scholar 

  • Groen RJM, Ponssen H (1990) The spontaneous spinal epidural hematoma. A study of the etiology. J Neurol Sci 98: 121–138

    Article  PubMed  CAS  Google Scholar 

  • Harik SI, Raichle ME, Reis DJ (1971) Spontaneously remitting spinal epidural hematoma in a patient on anticoagulants. N Engl J Med 284: 1355

    Article  PubMed  CAS  Google Scholar 

  • Hassler W, Thron A, Grote EH (1989) Hemodynamics of spinal durai arteriovenous fistulas. J Neurosurg 70: 360–370

    Article  PubMed  CAS  Google Scholar 

  • Henson RA, Parsons M (1967) Ischemic lesions of the spinal cord: an illustrated review. Q J Med NS 36 142: 205–222

    CAS  Google Scholar 

  • Holdorff B, Bradac GB (1987) Thorakolumbosakrale Lähmungen bei sakraler extraduraler arteriovenöser Fistel. Aktuel Neurol 14: 187–191

    Article  Google Scholar 

  • Hughes JT (1971) Venous infarction of the spinal cord. Neurology 21: 794–800

    Article  PubMed  CAS  Google Scholar 

  • Jellinger K (1967) Spinal cord arteriosclerosis and progressive vascular myelopathy. J Neurol Neurosurg Psychiatry 30: 195–206

    Article  PubMed  CAS  Google Scholar 

  • Jellinger K (1980) Morphologie und Pathogenese spinaler Durchblutungsstörungen. Nervenarzt 51: 65–77

    PubMed  CAS  Google Scholar 

  • Jörg J (1985) Neurologische Allgemein-und Intensivtherapie. Springer, Berlin Heidelberg New York

    Book  Google Scholar 

  • Jörg J (1992) Rückenmarkerkrankungen. Edition medizin, Weinheim

    Google Scholar 

  • Koenig E, Thron A, Schrader V, Dichgans J (1989) Spinal arteriovenous malformations and fistulae: clinical, neuroradiological and neurophysiological findings. J Neurol 236: 260–266

    Article  PubMed  CAS  Google Scholar 

  • Konttinen YT, Kinnunen E, von Bonsdorff M (1987) Acute transverse myelopathy successfully treated with plasmapheresis and prednisone in a patient with primary Sjögren’s syndrome. Arithritis Rheumatol 330: 339–344

    Article  Google Scholar 

  • Koyama T, Igaraski S, Hamakita J, Handa J (1982) Das spinale epidurale Hämatom — Zur Ursache der Blutung. Neurochirurgia 25: 11–13

    PubMed  CAS  Google Scholar 

  • La Torre E, Fortuna A (1971) Syndrome of anterior spinal artery from cervical spondylosis relieved by surgery. Minerva Neurochir 15: 22–23

    PubMed  Google Scholar 

  • Lazorthes G (1972) Pathology, classification and clinical aspects of vascular diseases of the spinale cord. In: Vinken PJ, de Bruyn GW (eds) Handbook of neurology, vol 12/2. Elsevier, Amsterdam, pp 492–506

    Google Scholar 

  • Logue V (1979) Angiomas of the spinal cord: review of the pathogenesis, clinical features and results of surgery. J Neurol Neurosurg Psychiatry 42: 1–11

    Article  PubMed  CAS  Google Scholar 

  • Maeda S, Miyamoto T, Murata H, Yamashita K (1989) Prevention of spinal cord ischemia by monitoring spinal cord perfusion pressure and somatosensory evoked potentials. J Cardiovasc Surg 30: 565–571

    CAS  Google Scholar 

  • Meinecke FW (1990) Querschnittlähmungen. Springer, Berlin Heidelberg New York

    Book  Google Scholar 

  • Odom GL (1962) Vascular lesions of the spinal cord: malformations, spinal subarachnoid and extradural hemorrhage. Clin Neurosurg 8: 196

    PubMed  CAS  Google Scholar 

  • Oliver AD, Wilson CB, Boldrey EB (1973) Transient postprandial paresis associated with arteriovenous malformations of the spinal cord. J Neurosurg 39: 652–655

    Article  PubMed  CAS  Google Scholar 

  • Pia HW (1973) Diagnosis and treatment of spinal angiomas. Acta Neurochir (Wien) 28: 1–12

    Article  CAS  Google Scholar 

  • Pia HW (1985) Spinale Angiome. In: Schirmer M (ed) Querschnittslähmungen. Springer, Berlin Heidelberg New York, pp 395–408

    Google Scholar 

  • Pou Serradell A, Aragones JM, Oliveras C (1990) Lumbosacral spinal cord infarction. Data provided by magnetic resonance imaging. Rev Neurol 146: 293–296

    Google Scholar 

  • Ropper AH (1992) Neurological and neurosurgical intensive care, 3rd edn. Raven, New York

    Google Scholar 

  • Schirmer M (1985) Querschnittlähmungen. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Schulze HAF (1988) Neurologische Intensivbetreuung. VEB Thieme, Leipzig

    Google Scholar 

  • Stöhr M, Brandt T, Einhäupl KM (1991) Neurologische Syndrome in der Intensivmedizin. Kohlhammer, Stuttgart

    Google Scholar 

  • Vogelsang H (1980) Neuroradiologische Untersuchungen und Befunde bei spinalen Gefäßerkrankungen. Nervenarzt 51: 81–86

    PubMed  CAS  Google Scholar 

  • Wildemann B, Storch-Hagenlocher B, Hacke W (1991) Zerebrale Vaskulitiden. Aktuel Neurol 18: 8–14

    Article  Google Scholar 

  • Wolman L, Bradshaw P (1967) Spinal cord embolism. J Neurol Neurosurg Psychiatry 30: 446

    Article  PubMed  CAS  Google Scholar 

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© 1994 Springer-Verlag Berlin Heidelberg

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Jörg, J., Steiner, T., Forsting, M., Hacke, W. (1994). Spinal Vascular Malformations and Ischemic Lesions of the Spinal Cord. In: Hacke, W., Hanley, D.F., Einhäupl, K.M., Bleck, T.P., Diringer, M.N., Ropper, A.H. (eds) Neurocritical Care. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-87602-8_59

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  • DOI: https://doi.org/10.1007/978-3-642-87602-8_59

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-87604-2

  • Online ISBN: 978-3-642-87602-8

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