Spinal Angiomas: Advances in Diagnosis and Therapy

ISBN-13: 9783642667220 / Angielski / Miękka / 2011 / 232 str.

H. W. Pia; R. Djindjian

Opis

The rapid development of diagnostic and therapeutic procedures in the management of spinal angiomas has opened up new possibilities and provided better chances for the patients concerned. The greatest impetus to this pro gress was given by the introduction of selective and superselective spinal angiography, microsurgical technique, and embolization. These sophisticated techniques and the skill required for their use are far from being routine in the neurosurgical and neuroradiologic departments. In spite of the rarity of spinal angiomas, the application of the above-mentioned procedures is the prerequisite for improving early diagnosis and giving timely adequate treat ment. Delay in diagnosis and treatment are still the main cause of unsatisfac tory results. In the last 10 -20 years, several groups in Europe and the USA have done important and fundamental work in introducing and developing the diganos tic and therapeutic armamentarium. Based on the pioneering work of their teachers and the classic contribution of Wyburn - Mason in 1943, they simultaneously improved the morphologic, physiologic, and clinical basis of our knowledge. Although progress is going on and many problems have to be solved, the general principles of clinical diagnosis, operative treatment, and embolization have been laid down and are to be published in a special monograph on this topic."

Spis treści

Morphologic Aspects.- Blood Supply and Vascular Pathology of the Spinal Cord.- Pathology of Spinal Vascular Malformations and Vascular Tumors.- Discussion.- Operative Findings in Spinal Angiomas.- Clinical Aspects.- Symptomatology of Spinal Angiomas.- Clinical Symptomatology and Natural History of Arteriovenous Malformations of the Spinal Cord — A Study of the Clinical Aspects and Prognosis, Based on 150 Cases.- Radiologic Aspects.- Radiologic Findings in Spinal Angiomas — Plain X-Rays, Myelography, and Spinal Phlebography.- Angiography in Angiomas of the Spinal Cord.- Therapeutic Aspects Operative Classic and Microsurgical Treatment.- Operative Treatment of Spinal Angiomas.- Surgical Treatment of Intramedullary and Anterior Spinal Angiomas.- Operative Treatment of Spinal Angioblastomas.- Embolization.- Treatment of Spinal Angiomas by Embolization.- Embolization of Spinal Arteriovenous Malformations.- References.