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Neuroradiology

, Volume 32, Issue 2, pp 114–116 | Cite as

Angiography in the investigation of spinal dural arteriovenous fistula

A protocol with application of the venous phase
  • R. Willinsky
  • P. Lasjaunias
  • K. Terbrugge
  • M. Hurth
Originals

Summary

The authors present their protocol for spinal angiography in their investigation of dural arteriovenous fistula (DAVF). The protocol has been used in approximately 120 patients from 1983 to the present at Bicetre Hospital. The approach is based on the fact that venous congestion is responsible for the myelopathy of DAVF. If the venous phase of the spinal circulation is normal, this alone rules out DAVF as the cause of the patient's symptoms. If there is stasis in the spinal circulation, this is consistent with DAVF, and thus complete spinal angiography is necessary. Complete angiography includes the selective intercostal arteries, including the lateral sacrals, as well as the supply to the cervical cord and posterior fossa.

Key words

Arteriovenous fistula Venous myelopathy Spinal angiography Spinal cord Spinal veins 

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References

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    Aminoff MJ, Barnard RO, Logue U (1974) The pathophysiology of spinal vascular malformation. J Neurol Science 23: 255–263Google Scholar
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    Djindjian R, Hurth M, Houdart R (1970) Angiography of the spinal cord. In French and English. English text by I. Kricheff. Masson, ParisGoogle Scholar
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    Launay M, Chiras J, Bories J (1979) Angiographie medullaire: Temps veineux. J Neuroradiol 6: 287–315Google Scholar
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    Merland JJ, Riche MC, Chiras J (1980) Les fistules arterio-veineuses intra-canalaires, extra-medullaires a drainage veineux medullaire. J Neuroradiol 7: 271–320Google Scholar

Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • R. Willinsky
    • 1
  • P. Lasjaunias
    • 1
    • 2
  • K. Terbrugge
    • 2
  • M. Hurth
    • 1
  1. 1.Department of RadiologyHopital De BicetreLe Kremlin-BicetreFrance
  2. 2.Department of RadiologyUniversity of Toronto, Toronto Western HospitalTorontoCanada

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