scholarly journals The contributions of Otto Hebold and Julius Gaupp to the study of spinal vascular malformations: Original documents and historical context

2019 ◽  
Vol 25 (6) ◽  
pp. 604-612
Author(s):  
Philippe Gailloud
Keyword(s):  
Spinal Cord ◽  
Arteriovenous Fistula ◽  
19Th Century ◽  
Vascular Malformation ◽  
Vascular Malformations ◽  
Historical Context ◽  
Journal Articles ◽  
Late 19Th Century ◽  
Spinal Vascular Malformation ◽  
Spinal Vascular Malformations

Book chapters and journal articles dealing with spinal cord vascular malformations often reference Otto Hebold and Julius Gaupp, but frequently misrepresent the observations published by the two German authors in the late 19th century. The purpose of this paper is to provide a better appreciation of these important contributions based on abridged translations of original documents set in their historical context, notably regarding the landmark works of Brasch, Raymond and Cestan, and Lindenmann. It is concluded that Gaupp offered the first reliable description of a perimedullary arteriovenous fistula while the lesion reported by Hebold was not a spinal vascular malformation.

scholarly journals Early description of synchronous double spinal vascular malformations by Łucja Frey in 1928

2016 ◽  
Vol 25 (2) ◽  
pp. 271-278 ◽  
Author(s):  
Philippe Gailloud
Keyword(s):  
Spinal Cord ◽  
Arteriovenous Malformation ◽  
Vascular Malformation ◽  
Vascular Malformations ◽  
Current Understanding ◽  
Complex Case ◽  
Spinal Arteriovenous Malformation ◽  
Spinal Vascular Malformations ◽  
Early Description ◽  
Auriculotemporal Nerve

The Polish neurologist Łucja Frey (1889–1942) is principally remembered for her description of the auriculotemporal nerve (or Frey's) syndrome. She also reported a complex case of spinal cord vascular malformation in 1928, which included one of the earliest accurate anatomopathological depictions of a spinal arteriovenous malformation as well as the first known observation of double synchronous spinal cord vascular malformation. An abbreviated translation of Frey's report is followed by a discussion of the place occupied by her contribution in the development of our current understanding of spinovascular disorders.

Traumatic spinal perimedullary arteriovenous fistula due to knife stabbing and subsequent kyphosis

2013 ◽  
Vol 19 (2) ◽  
pp. 222-225 ◽  
Author(s):  
Yahui Bai ◽  
Xinglong Zhi ◽  
Fengzeng Jian ◽  
Hongqi Zhang ◽  
Feng Ling
Keyword(s):  
Spinal Cord ◽  
Arteriovenous Fistula ◽  
Vascular Malformation ◽  
Treatment Strategy ◽  
Spinal Vascular Malformation ◽  
Congenital Lesion

Perimedullary arteriovenous fistula (AVF) is a relatively rare spinal vascular malformation. Although it has traditionally been considered to be a congenital lesion, some cases identified in adults have suggested that the lesion may be acquired. The etiology and exact mechanism of these lesions are unknown. The authors present a case of a perimedullary AVF caused by a direct stabbing injury of the spinal cord and induced by subsequent kyphosis, and they discuss the pathogenesis and treatment strategy.

Republished: Bilateral and symmetric isolated dorsospinal arteries with prominent anterior radiculomedullary contribution

2016 ◽  
Vol 8 (12) ◽  
pp. e48-e48
Author(s):  
Emanuele Orru’ ◽  
Philippe Gailloud
Keyword(s):  
Spinal Cord ◽  
Arteriovenous Fistula ◽  
Significant Contribution ◽  
Vascular Malformations ◽  
Vascular Diseases ◽  
Diagnostic Evaluation ◽  
Anterior Spinal Artery ◽  
Spinal Vascular Malformations ◽  
Spinal Epidural

We present the case of a 15-year-old girl with a left T7 spinal epidural arteriovenous fistula (SEAVF), in whom bilateral and symmetric isolated T9 dorsospinal arteries (DAs) were incidentally documented, each providing a significant contribution to the anterior spinal artery. Recognizing the existence of isolated DAs of direct aortic origin is critical, both for the diagnostic evaluation and for the management of spinal vascular diseases. Notably, isolated DAs tend to branch off significant radiculomedullary arteries, which vascularize the normal spinal cord but have also been shown to supply spinal vascular malformations.

scholarly journals Cauda equina arteriovenous fistula supplied by proximal radicular artery and concomitant sacral dural arteriovenous fistula: A case report and literature review

2021 ◽  
Vol 12 ◽  
pp. 405
Author(s):  
Prasert Iampreechakul ◽  
Punjama Lertbutsayanukul ◽  
Somkiet Siriwimonmas
Keyword(s):  
Spinal Cord ◽  
Arteriovenous Fistula ◽  
Vascular Malformations ◽  
Cauda Equina ◽  
Unknown Origin ◽  
Vascular Lesion ◽  
Conus Medullaris ◽  
Venous Hypertension ◽  
Arteriovenous Fistulas ◽  
Spinal Vascular Malformations

Background: Cauda equina arteriovenous fistulas (AVFs) fed by the proximal radicular artery are exceedingly rare. Spinal dural arteriovenous fistulas (DAVFs) in the sacral region are rare and usually misdiagnosed. We report a case of a cauda equina AVF with concomitant sacral DAVF. We also review the coexistence of multiple types of spinal vascular malformations in a single patient. Case Description: A 54-year-old man presented with progressive weakness of the lower extremities for 1 month. Magnetic resonance imaging (MRI) of the lumbosacral and thoracic spine showed spinal cord congestion, extending from the conus medullaris to the level of T7, and abnormal tortuous and dilated flow void, running from the level of L5 to T12 along anterior surface of the spinal cord. Spinal angiography demonstrated the fistula at the level of L2 below the conus medullaris. Based on intraoperative findings, the cauda equina AVF supplied by the proximal radicular artery with cranial drainage through the enlarged radicular vein was confirmed and successfully obliterated. Another enlarged arterialized radicular vein running parallel to another cauda equina nerve root is observed with unknown origin. After the operation, the patient showed mild improvement of his symptoms. Follow-up MRI and contrast-enhanced MR angiography revealed an another sacral DAVF vascularized by the lateral sacral artery. Conclusion: The coexistence of different spinal vascular malformations in a same patient is extremely rare. Most authors of several studies hypothesized that venous hypertension and thrombosis due to the presence or treatment of the first spinal vascular lesion may produce a second DAVF.

Thoracolumbar spinal vascular malformation as a rare cause of isolated intraventricular hemorrhage

2014 ◽  
Vol 14 (1) ◽  
pp. 12-15 ◽  
Author(s):  
Evan S. Marlin ◽  
John J. Entwistle ◽  
Michael A. Arnold ◽  
Christopher R. Pierson ◽  
Lance S. Governale
Keyword(s):  
Back Pain ◽  
Venous Thrombosis ◽  
Vascular Malformation ◽  
Intraventricular Hemorrhage ◽  
Vascular Malformations ◽  
Case Reports ◽  
Vascular Lesions ◽  
Spinal Vascular Malformation ◽  
Spinal Vascular Malformations ◽  
Initial Imaging

Spinal vascular malformations are rare vascular lesions that most frequently present with back pain, radiculopathy, and/or myelopathy. Neurological decline is typically secondary to progressive radiculopathy, myelopathy, venous thrombosis, and stroke. Few case reports have described thoracolumbar spinal vascular malformations that present with both subarachnoid and intraventricular hemorrhage. This is the first reported case of a thoracolumbar spinal vascular malformation presenting with isolated intraventricular hemorrhage on initial imaging followed by acute and fatal rehemorrhage.

Spinal Dural Arteriovenous Fistula: Diagnosis and Treatment

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Nur Setiawan Suroto
Keyword(s):  
Spinal Cord ◽  
Arteriovenous Fistula ◽  
Vascular Malformation ◽  
Dural Arteriovenous Fistula ◽  
Motor Symptoms ◽  
Elderly Men ◽  
Spinal Dural Arteriovenous Fistula ◽  
Sensory Disturbances ◽  
Av Fistulas ◽  
Low Rate

Spinal dural arteriovenous (AV) fistulas are the most commonly encountered vascular malformation of the spinal cord and a treatable cause for progressive paraplegia or tetraplegia. They most commonly affected are elderly men and are classically found in the thoracolumbar region.Symptoms gradually progress or decline in a stepwise manner and are commonly associated with pain and sphincter disturbances. Surgical or endovascular disconnection of the fistula has a high success rate with a low rate of morbidity. Motor symptoms are most likely to improve after treatment, followed by sensory disturbances, and lastly sphincter disturbances.

scholarly journals Introduction: Spinal Vascular Malformations

2009 ◽  
Vol 26 (1) ◽  
pp. E1 ◽  
Author(s):  
Edward H. Oldfield
Keyword(s):  
Spinal Cord ◽  
Vascular Malformations ◽  
Vascular Lesions ◽  
Successful Management ◽  
Anatomical Features ◽  
Spinal Vascular Malformations ◽  
Cord Injury ◽  
Selective Arteriography ◽  
The 1960S ◽  
Made In

From the earliest observations of spinal vascular malformations, successful management has been challenging. Initially the challenges were diagnosing, understanding, and treating these lesions. They were originally considered all to be the same, or at least to be a single general type, of disease. With the introduction of selective spinal arteriography in the 1960s and more recently with the introduction and widespread use of MR imaging, the initial challenge of diagnosing spinal vascular malformations was overcome, and significant progress has been made in understanding their anatomy as well as the pathophysiology that underlies the myelopathy commonly associated with them. The anatomical features defined by selective arteriography and the observations permitted with the operating microscope ultimately led to distinctions between the major categories of the vascular lesions affecting the spinal cord; these distinctions were based on the lesions' anatomy, epidemiology, and the mechanism of spinal cord injury.

The use of 3D computer graphics in the diagnosis and treatment of spinal vascular malformations

2011 ◽  
Vol 15 (6) ◽  
pp. 654-659 ◽  
Author(s):  
Keisuke Takai ◽  
Taichi Kin ◽  
Hiroshi Oyama ◽  
Akira Iijima ◽  
Masaaki Shojima ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Computer Graphics ◽  
Dura Mater ◽  
Vascular Malformations ◽  
Case Series ◽  
University Hospital ◽  
Diagnosis And Treatment ◽  
Fisher Exact Test ◽  
Imaging Method ◽  
Spinal Vascular Malformations

Object Digital subtraction (DS) angiography is the gold standard for diagnosing spinal vascular malformations. Recently, multidetectorrow spiral CT and contrast-enhanced MR angiography have been introduced as screening examinations before DS angiography. These methods, however, do not always determine the accurate location of an arteriovenous shunt because the resulting images lack information about the spinal cord or the dura mater. Methods Between April 2009 and December 2010, 13 patients underwent imaging evaluations for spinal vascular malformations at the authors' university hospital. This group included 8 patients with spinal dural arteriovenous fistulas (AVFs), 3 with perimedullary AVFs, and 2 with intramedullary arteriovenous malformations. Using data from these patients, the authors attempted to develop 3D computer graphics (CG) based upon the fusion of 3D rotational angiography and postmyelographic CT. They subsequently verified the accuracy of this imaging method. Ten of these 13 patients underwent surgical treatment for their lesions (11 AVFs), and for these 11 lesions the authors compared the diagnoses obtained using 3D CG with those obtained using conventional DS angiography. Results In all 13 cases, 3D CG images of the spinal lesions were successfully developed using the patients' actual data. Four (36%) of 11 AVFs were correctly identified using DS angiography, whereas 10 (91%) were correctly identified using 3D CG. Results from 3D CG of spinal AVFs corresponded well with operative findings, and 3D CG was significantly better than conventional DS angiography at predicting AVF location (p = 0.024, Fisher exact test). Conclusions To the authors' knowledge, this is the first reported case series in which 3D CG of spinal vascular malformations was used to provide simultaneous, stereoscopic visualization of the spinal vascular system, spinal cord, dura mater, and bone. The 3D CG method provides precise visual images for the diagnosis and treatment of these lesions.

scholarly journals Balloon-assisted transarterial embolization of type 1 spinal dural arteriovenous fistula

2014 ◽  
Vol 37 (v1supplement) ◽  
pp. 1
Author(s):  
Brian Lee ◽  
Vivek A. Mehta ◽  
William J. Mack ◽  
Matthew S. Tenser ◽  
Arun P. Amar
Keyword(s):  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Vascular Malformations ◽  
Transarterial Embolization ◽  
Mri Imaging ◽  
Spinal Dural Arteriovenous Fistula ◽  
Lower Extremity Weakness ◽  
Segmental Artery ◽  
Spinal Vascular Malformations

Type 1 spinal dural arteriovenous fistula (dAVF) constitute the vast majority of all spinal vascular malformations. Here we present the case of a 71-year-old male with progressive myelopathy, lower-extremity weakness and numbness, and urinary incontinence. MRI imaging of the thoracic spine demonstrated cord edema, and catheter spinal angiography confirmed a type 1 spinal dAVF. The fistula was supplied by small dural branches of the left L-2 segmental artery. Angiographic cure was achieved with a one-stage procedure in which coils were used to occlude the distal segmental vessels, followed by balloon-assisted embolization with Onyx.The video can be found here: http://youtu.be/8aehJbueH0U.

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