Spinal Angiomas: Advances in Diagnosis and Therapy by Guy Lazorthes (auth.), Professor Dr. Dr. h.c. Hans Werner

By Guy Lazorthes (auth.), Professor Dr. Dr. h.c. Hans Werner Pia, René Djindjian (eds.)

The fast improvement of diagnostic and healing tactics within the administration of spinal angiomas has spread out new percentages and supplied larger probabilities for the sufferers involved. the best impetus to this professional­ gress was once given by means of the advent of selective and superselective spinal angiography, microsurgical procedure, and embolization. those refined options and the ability required for his or her use are faraway from being regimen within the neurosurgical and neuroradiologic departments. even with the rarity of spinal angiomas, the applying of the above-mentioned strategies is the prerequisite for making improvements to early prognosis and giving well timed sufficient deal with­ ment. hold up in analysis and therapy are nonetheless the most reason for unsatisfac­ tory effects. within the final 10 -20 years, a number of teams in Europe and america have performed vital and primary paintings in introducing and constructing the diganos­ tic and healing armamentarium. in accordance with the pioneering paintings in their lecturers and the vintage contribution of Wyburn - Mason in 1943, they concurrently more suitable the morphologic, physiologic, and medical foundation of our wisdom. even though development is happening and lots of difficulties must be solved, the final rules of medical analysis, operative remedy, and embolization were laid down and are to be released in a different monograph in this topic.

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1971; Guidetti and Fortuna, 1967; Guillian et at, 1932; Klug, 1948; Pia, 1973; Wyburn-Mason, 1943). This association was observed in almost 7% of spinal AVMs (Pia, 1973). Diagnostic problems may arise from the fact that AVMs occasionally contain hemangioblastomatous areas (Fig. 6E), while hemangioblastomas often show angioma-lik{l sinusoid blood spaces and wide vascular channels (Figs. 9D, lOB). The tight clusters of sinusoidal thin-walled vessels may explain the angiographic picture of these tumors charac41 Fig.

A mycotic aneurysm on a lumbar vessel producing subarachnoid hemorrhage has also been described (Henson and Croft, 1956). , 1971). A calcified intramedullary aneurysm in spinal angioma was reported (Deeb et aI. 1977). Spinal Vascular Malformations (Angiomas) Definition Angiomas are localized collections of blood vessels, abnormal in structure and in number, representing a developmental anomaly of the spinal circulatory system showing persistence of a primitive pattern of vascular pathways with altered hemodynamics.

1958). , 1970). Among 21 hemangiopericytomas in a series of 1300 meningiomas (including 200 spinal tumors), we found only two located in the spinal canal. One was a large tumor of the cauda equina (Fig. 10E-G) in a female aged 43 years who had several recurrences within 5 years and finally died with liver metastases. The angio43 graphic findings common to these tumors include a myriad of tiny irregular feeding vessels springing from a main trunk, an intense fluffy type of stain, lack of early veins, and prolonged tumor circulation time.

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