Diagnostik und Therapie der spinalen vaskulären Malformationen
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Diagnostik und Therapie der spinalen vaskulären Malformationen : Ein Update. / Eicker, S; Turowski, B; Steiger, H-J; Hänggi, D.
in: NERVENARZT, Jahrgang 81, Nr. 6, 06.2010, S. 719-26.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Diagnostik und Therapie der spinalen vaskulären Malformationen
T2 - Ein Update
AU - Eicker, S
AU - Turowski, B
AU - Steiger, H-J
AU - Hänggi, D
PY - 2010/6
Y1 - 2010/6
N2 - INTRODUCTION: Spinal vascular malformations are rare disease patterns with a clinical incidence of about 5-10/year/1 million comprising spinal arteriovenous malformations (sAVM), spinal arteriovenous fistulas (sAVF) and spinal cavernomas. Long courses of disease before diagnosis deteriorate the prognosis despite successful treatment.METHODS: Selective review of the literature in consideration of present guidelines.RESULTS: Spinal vascular pathological conditions can be classified into different subtypes especially by use of magnetic resonance imaging (MRI) and selective digital subtraction angiography (DSA). Diagnosis and treatment of spinal dural arteriovenous fistula (type I) as well as spinal arteriovenous malformations (type II-V) ideally require a close co-operation between neurosurgeons and neuroradiologists. Surgery can in general be considered as curative. Endovascular therapy of arteriovenous malformations results in reduction of size and concomitant haemodynamic effects. A curative approach is generally not possible. Particularly in cases of lumbosacral and craniosacral arteriovenous fistulas the interventional procedure provides advantages. Treatment of spinal cavernomas nowadays consists of neurosurgical approaches exclusively. The significance of radiosurgical therapy, especially with the CyberKnife, remains indistinct. Today, interdisciplinary neurosurgical and neuroradiological co-operation in specialized centres allows most spinal vascular malformations to be diagnosed at an early stage and to be treated with satisfying results.
AB - INTRODUCTION: Spinal vascular malformations are rare disease patterns with a clinical incidence of about 5-10/year/1 million comprising spinal arteriovenous malformations (sAVM), spinal arteriovenous fistulas (sAVF) and spinal cavernomas. Long courses of disease before diagnosis deteriorate the prognosis despite successful treatment.METHODS: Selective review of the literature in consideration of present guidelines.RESULTS: Spinal vascular pathological conditions can be classified into different subtypes especially by use of magnetic resonance imaging (MRI) and selective digital subtraction angiography (DSA). Diagnosis and treatment of spinal dural arteriovenous fistula (type I) as well as spinal arteriovenous malformations (type II-V) ideally require a close co-operation between neurosurgeons and neuroradiologists. Surgery can in general be considered as curative. Endovascular therapy of arteriovenous malformations results in reduction of size and concomitant haemodynamic effects. A curative approach is generally not possible. Particularly in cases of lumbosacral and craniosacral arteriovenous fistulas the interventional procedure provides advantages. Treatment of spinal cavernomas nowadays consists of neurosurgical approaches exclusively. The significance of radiosurgical therapy, especially with the CyberKnife, remains indistinct. Today, interdisciplinary neurosurgical and neuroradiological co-operation in specialized centres allows most spinal vascular malformations to be diagnosed at an early stage and to be treated with satisfying results.
KW - Adult
KW - Angiography, Digital Subtraction
KW - Central Nervous System Vascular Malformations
KW - Child
KW - Embolization, Therapeutic
KW - Female
KW - Hemangioma, Cavernous, Central Nervous System
KW - Humans
KW - Image Processing, Computer-Assisted
KW - Magnetic Resonance Imaging
KW - Male
KW - Patient Care Team
KW - Practice Guidelines as Topic
KW - Prognosis
KW - Radiosurgery
KW - Spinal Cord
KW - Spinal Cord Neoplasms
KW - Treatment Outcome
KW - Young Adult
U2 - 10.1007/s00115-010-2971-2
DO - 10.1007/s00115-010-2971-2
M3 - SCORING: Zeitschriftenaufsatz
C2 - 20386874
VL - 81
SP - 719
EP - 726
JO - NERVENARZT
JF - NERVENARZT
SN - 0028-2804
IS - 6
ER -