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Spinal Cord Vascular Diseases

MedGen UID:
156008
•Concept ID:
C0752127
•
Disease or Syndrome
Synonym: Vascular Diseases, Spinal Cord

Definition

Pathological processes involving any of the BLOOD VESSELS feeding the SPINAL CORD, such as the anterior and paired posterior spinal arteries or their many branches. Disease processes may include ATHEROSCLEROSIS; EMBOLISM; and ARTERIOVENOUS MALFORMATIONS leading to ISCHEMIA or HEMORRHAGE into the spinal cord (hematomyelia). [from MeSH]

Professional guidelines

PubMed

Efficacy of overactive neurogenic bladder treatment: A systematic review of randomized controlled trials.
Bapir R, Bhatti KH, Eliwa A, García-Perdomo HA, Gherabi N, Hennessey D, Magri V, Mourmouris P, Ouattara A, Perletti G, Philipraj J, Stamatiou K, Trinchieri A, Buchholz N
Arch Ital Urol Androl 2022 Dec 28;94(4):492-506. doi: 10.4081/aiua.2022.4.492. PMID: 36576454
Characteristics of Spontaneous Spinal Cord Infarction and Proposed Diagnostic Criteria.
Zalewski NL, Rabinstein AA, Krecke KN, Brown RD Jr, Wijdicks EFM, Weinshenker BG, Kaufmann TJ, Morris JM, Aksamit AJ, Bartleson JD, Lanzino G, Blessing MM, Flanagan EP
JAMA Neurol 2019 Jan 1;76(1):56-63. doi: 10.1001/jamaneurol.2018.2734. PMID: 30264146Free PMC Article
Guidelines for diagnosis and management of the cobalamin-related remethylation disorders cblC, cblD, cblE, cblF, cblG, cblJ and MTHFR deficiency.
Huemer M, Diodato D, Schwahn B, Schiff M, Bandeira A, Benoist JF, Burlina A, Cerone R, Couce ML, Garcia-Cazorla A, la Marca G, Pasquini E, Vilarinho L, Weisfeld-Adams JD, Kožich V, Blom H, Baumgartner MR, Dionisi-Vici C
J Inherit Metab Dis 2017 Jan;40(1):21-48. Epub 2016 Nov 30 doi: 10.1007/s10545-016-9991-4. PMID: 27905001Free PMC Article

Recent clinical studies

Etiology

Posterior spinal artery infarct.
Panesar H, Conry A, Finocchi V, Desai C, Bracewell RM
Pract Neurol 2023 Apr;23(2):160-163. Epub 2023 Mar 2 doi: 10.1136/pn-2021-003336. PMID: 36863868
Retrospective study of functional outcomes and disability after non-ischaemic vascular causes of spinal cord dysfunction.
Teo CP, Cheng K, New PW
J Spinal Cord Med 2021 Mar;44(2):306-311. Epub 2019 Aug 12 doi: 10.1080/10790268.2019.1645405. PMID: 31403383Free PMC Article
Links among glaucoma, neurodegenerative, and vascular diseases of the central nervous system.
Nucci C, Martucci A, Cesareo M, Garaci F, Morrone LA, Russo R, Corasaniti MT, Bagetta G, Mancino R
Prog Brain Res 2015;221:49-65. Epub 2015 Jul 2 doi: 10.1016/bs.pbr.2015.04.010. PMID: 26518072
Syringomyelia: a practical, clinical concept for classification.
Blegvad C, Grotenhuis JA, Juhler M
Acta Neurochir (Wien) 2014 Nov;156(11):2127-38. Epub 2014 Sep 19 doi: 10.1007/s00701-014-2229-z. PMID: 25236931
Neurointerventional procedures in the pediatric age group.
terBrugge KG
Childs Nerv Syst 1999 Nov;15(11-12):751-4. doi: 10.1007/s003810050465. PMID: 10603017

Diagnosis

Posterior spinal artery infarct.
Panesar H, Conry A, Finocchi V, Desai C, Bracewell RM
Pract Neurol 2023 Apr;23(2):160-163. Epub 2023 Mar 2 doi: 10.1136/pn-2021-003336. PMID: 36863868
Vascular.
Arthur AS, Abecassis IJ, Abi-Aad KR, Albuquerque FC, Almefty RO, Aoun RJN, Barrow DL, Bederson J, Bendok BR, Ducruet AF, Fanous AA, Fennell VS, Flores BC, Griessenauer CJ, Kim LJ, Levitt MR, Mack WJ, Mascitelli J, Min E, Mocco J, Morr S, Nerva JD, Richards AE, Schirmer CM, See AP, Snyder KV, Tian F, Walcott BP, Welz ME
Oper Neurosurg (Hagerstown) 2019 Aug 1;17(Suppl 2):S76-S118. doi: 10.1093/ons/opz088. PMID: 31099843
Spinal subarachnoid hemorrhage and aneurysms.
Maiti TK, Bir SC, Nanda A
Handb Clin Neurol 2017;143:215-223. doi: 10.1016/B978-0-444-63640-9.00020-5. PMID: 28552143
Warfarin-associated hematomyelia.
Famularo G, Sajeva MR, Gasbarrone L
Intern Med 2014;53(6):623-6. doi: 10.2169/internalmedicine.53.1544. PMID: 24633035
Intramedullary spinal cord hemorrhage (hematomyelia).
Leep Hunderfund AN, Wijdicks EF
Rev Neurol Dis 2009 Spring;6(2):E54-61. PMID: 19587631

Therapy

Posterior spinal artery infarct.
Panesar H, Conry A, Finocchi V, Desai C, Bracewell RM
Pract Neurol 2023 Apr;23(2):160-163. Epub 2023 Mar 2 doi: 10.1136/pn-2021-003336. PMID: 36863868
Warfarin-associated hematomyelia.
Famularo G, Sajeva MR, Gasbarrone L
Intern Med 2014;53(6):623-6. doi: 10.2169/internalmedicine.53.1544. PMID: 24633035
Spinal arteriovenous shunts in children.
Davagnanam I, Toma AK, Brew S
Neuroimaging Clin N Am 2013 Nov;23(4):749-56. doi: 10.1016/j.nic.2013.04.002. PMID: 24156862
Endovascular treatment of adult spinal arteriovenous lesions.
Chaudhary N, Pandey AS, Gemmete JJ
Neuroimaging Clin N Am 2013 Nov;23(4):729-47. doi: 10.1016/j.nic.2013.03.017. PMID: 24156861
Intramedullary spinal cord hemorrhage (hematomyelia).
Leep Hunderfund AN, Wijdicks EF
Rev Neurol Dis 2009 Spring;6(2):E54-61. PMID: 19587631

Prognosis

Posterior spinal artery infarct.
Panesar H, Conry A, Finocchi V, Desai C, Bracewell RM
Pract Neurol 2023 Apr;23(2):160-163. Epub 2023 Mar 2 doi: 10.1136/pn-2021-003336. PMID: 36863868
Risk factors of hematomyelia recurrence and clinical outcome in children with intradural spinal cord arteriovenous malformations.
Saliou G, Tej A, Theaudin M, Tardieu M, Ozanne A, Sachet M, Ducreux D, Deiva K
AJNR Am J Neuroradiol 2014 Jul;35(7):1440-6. Epub 2014 Mar 13 doi: 10.3174/ajnr.A3888. PMID: 24627450Free PMC Article
Clinical features and treatment outcomes of the spinal arteriovenous fistulas and malformation: clinical article.
Cho WS, Kim KJ, Kwon OK, Kim CH, Kim J, Han MH, Chung CK
J Neurosurg Spine 2013 Aug;19(2):207-16. Epub 2013 May 24 doi: 10.3171/2013.4.SPINE12732. PMID: 23705629
Surgical treatment of spinal vascular malformations performed using intraoperative indocyanine green videoangiography.
Wang G, Ma G, Ma J, Hao S, Li D, Han L, Wang T, Su W, Han B, Yen CP, Kwan AL
J Clin Neurosci 2013 Jun;20(6):831-6. Epub 2013 Apr 28 doi: 10.1016/j.jocn.2012.06.014. PMID: 23632289
Embolization of spinal cord arteriovenous shunts: morphological and clinical follow-up and results--review of 69 consecutive cases.
Rodesch G, Hurth M, Alvarez H, David P, Tadie M, Lasjaunias P
Neurosurgery 2003 Jul;53(1):40-9; discussion 49-50. doi: 10.1227/01.neu.0000068701.25600.a1. PMID: 12823872

Clinical prediction guides

Retrospective study of functional outcomes and disability after non-ischaemic vascular causes of spinal cord dysfunction.
Teo CP, Cheng K, New PW
J Spinal Cord Med 2021 Mar;44(2):306-311. Epub 2019 Aug 12 doi: 10.1080/10790268.2019.1645405. PMID: 31403383Free PMC Article
Open and endovascular treatment of spinal dural arteriovenous fistulas: a 10-year experience.
J Neurosurg Spine 2017 Apr;26(4):519-523. Epub 2017 Jan 20 doi: 10.3171/2016.9.SPINE16394. PMID: 28106525
Warfarin-associated hematomyelia.
Famularo G, Sajeva MR, Gasbarrone L
Intern Med 2014;53(6):623-6. doi: 10.2169/internalmedicine.53.1544. PMID: 24633035
Risk factors of hematomyelia recurrence and clinical outcome in children with intradural spinal cord arteriovenous malformations.
Saliou G, Tej A, Theaudin M, Tardieu M, Ozanne A, Sachet M, Ducreux D, Deiva K
AJNR Am J Neuroradiol 2014 Jul;35(7):1440-6. Epub 2014 Mar 13 doi: 10.3174/ajnr.A3888. PMID: 24627450Free PMC Article
Multiple sclerosis: a chronic infective cerebrospinal venulitis?
Thibault PK
Phlebology 2012 Aug;27(5):207-18. Epub 2012 Jan 12 doi: 10.1258/phleb.2011.011068. PMID: 22240624

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