Abstract
First reports of spinal vascular malformations were made in 1885 [1] and by Gaupp in an interestingly titled paper published in 1888 [2]. In 1915, Cobb (1915) described various clinical features and a relationship between skin lesions [3], and in 1928, Michon describes spinal subarachnoid haemorrhage due to an AVM and the first successful surgical excision performed by Perthes in 1921 [4]. However, these early reports are dwarfed by a detailed description of 122 (96 from the literature and 16 of his own cases) made by Wyburn-Mason in 1943 [5]. He distinguished two major types: arteriovenous angiomas (32%) and venous angiomas (68%). Later, he divided them into five groups:
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References
Hebold O. Aneurysmen der kleisnten rucken marksgefass. Arch Psychiatr Nervnkr. 1885;16:813.
Gaupp J. Hamorrhoiden der pia mater spinalis im gebiet des lendenmarks. Beitr Pathol. 1888;2:516–8.
Cobb S. Haemangioma of the spinal cord associated with skin naevi of the same metamere. Ann Surg. 1915;62:641–9.
Akopov SE, Schievink WI. History of spinal cord vascular malformations and their treatment. Semin Cerebrovasc Dis Stroke. 2002;2:178.
Wyburn-Mason R. Arteriovenous aneurysm of midbrain and retina, facial naevi and mental changes. Brain. 1943;66:163–203.
Doppman JL, Di Chiro G, Ommaya A. Obliteration of spinal-cord arteriovenous malformation by percutaneous embolisation. Lancet. 1968;1(7540):477.
Newton TH, Adams JE. Angiographic demonstration and non-surgical embolization of spinal cord angioma. Radiology. 1968;91:873–7.
Kendall BE, Logue V. Spinal epidural angiomatous malformations draining into intrathecal veins. Neuroradiology. 1977;13:181–9.
Merland JJ, Riche MC, Chiras J. Intraspinal extramedullary arteriovenous fistulae draining into the medullary veins. J Neuroradiol. 1980;7(4):271–320.
Yasargil MG, Symon L, Teddy PJ. Arteriovenous malformations of the spinal cord. In: Symon L, Brihaye J, Guidetti B, et al., editors. Advances and technical standards in neurosurgery, vol. II. Wien: Springer; 1984. p. 61–102.
Rosenblum B, Oldfield EH, Doppman JL, DiChiro G. Spinal arteriovenous malformations: a comparison of dural arteriovenous fistulas and intradural AVMs in 81 patients. J Neurosurg. 1987;67:795–802.
Boa HY, Ling F. Classification and therapeutic modalities of spinal vascular malformations in 80 patients. Neurosurgery. 1997;40(1):75–81.
Spetzler RF, Detwiler PW, Riina HA, Porter R. Modified classification of spinal cord vascular lesions. J Neurosurg. 2002;96(2 Suppl):145–56.
Aminoff MJ, Logue V. Clinical features of spinal vascular malformations. Brain. 1974;97(1):197–210.
Djindjian M, Djindjian R, Rey A, Hurth M, Houdart R. Intradural extramedullary spinal arterio-venous malformations fed by the anterior spinal artery. Surg Neurol. 1977;8(2):85–93.
Djindjian M, Djindjian R, Hurth M, Houdart R, Rey A. Steal phenomena in spinal arteriovenous malformations. J Neuroradiol. 1978;5:187–201.
Anson JA, Spetzler RF. Classification of spinal arteriovenous malformations and implications for treatment. Barrow Neurol Inst Q. 1992;8:2–8.
Kim LJ, Spetzler RF. Classification and surgical management of spinal arteriovenous lesions: arteriovenous fistulas and arteriovenous malformations. NeuroÂsurgery. 2006;59(5 Suppl 3):S195–201.
Niimi Y, Berenstein A. Endovascular treatment of spinal vascular malformations. Neurosurg Clin N Am. 1999;10(1):47–71.
Rodesch G, Hurth M, Alvarez H, Tadie M, Lasjaunias P. Classification of spinal cord arteriovenous shunts: proposal for a reappraisal—the Bicêtre experience with 155 consecutive patients treated between 1981 and 1999. Neurosurgery. 2002;51:374–80.
Van Dijk JM, TerBrugge KG, Willinsky RA, Farb RI, Wallace MC. Multidisciplinary management of spinal dural arteriovenous fistulas: clinical presentation and long-term follow-up in 49 patients. Stroke. 2002;33(6):1578–83.
Jellema K, Canta LR, Tijssen CC, van Rooij WJ, Koudstaal PJ, van Gijn J. Spinal dural arteriovenous fistulas: clinical features in 80 patients. J Neurol Neurosurg Psychiatry. 2003;74(10):1438–40.
Mull M, Nijenhuis RJ, Backes WH, Krings T, Wilmink JT, Thron A. Value and limitations of contrast-enhanced MR angiography in spinal arteriovenous malformations and dural arteriovenous fistulas. AJNR Am J Neuroradiol. 2007;28:1249–58.
Partington MD, Rufenacht DA, Marsh WR, Piepgras DG. Cranial and sacral dural arteriovenous fistulas as a cause of myelopathy. J Neurosurg. 1992;76(4):615–22.
Kim DJ, Willinsky R, Geibprasert S, Krings T, Wallace C, Gentili F, Terbrugge K. Angiographic characteristics and treatment of cervical spinal dural arteriovenous shunts. AJNR Am J Neuroradiol. 2010;31(8):1512–5. Epub Apr 22, 2010.
Aminoff MJ, Logue V. The prognosis of patients with spinal vascular malformations. Brain. 1974;97(1):211–8.
Symon L, Kuyama H, Kendall B. Dural arteriovenous malformations of the spine. Clinical features and surgical results in 55 cases. J Neurosurg. 1984;60(2):238–47.
Warakaulle DR, Aviv RI, Niemann D, Molyneux AJ, Byrne JV, Teddy P. Embolisation of spinal dural arteriovenous fistulae with Onyx. Neuroradiology. 2003;45(2):110–2.
Hall WA, Oldfield EH, Doppman JL. Recanalization of spinal arteriovenous malformations following embolization. J Neurosurg. 1989;70:714–20.
Song JK, Gobin YP, Duckwiler GR, et al. N-butyl 2-cyanoacrylate embolization of spinal dural arteriovenous fistulae. Am J Neuroradiol. 2001;22(1):40–7.
Accreditation Council on Graduate Medical Education. Embolization of spinal arteriovenous fistulae, spinal arteriovenous malformations, and tumors of the spinal axis. AJNR Am J Neuroradiol. 2001;22(suppl):S28–30.
Oran I, Parildar M, Derbent A. Treatment of slow-flow (type I) perimedullary spinal arteriovenous fistulas with special reference to embolization. AJNR Am J Neuroradiol. 2005;26(10):2582–6.
Gueguen B, Merland JJ, Riche MC, Rey A. Vascular malformations of the spinal cord: intrathecal perimedullary arteriovenous fistulas fed by medullary arteries. Neurology. 1987;37(6):969–79.
Mourier KL, Gobin YP, George B, Lot G, Merland JJ. Intradural perimedullary arteriovenous fistulae: results of surgical and endovascular treatment in a series of 35 cases. Neurosurgery. 1993;32(6):885–91; discussion 891.
Halbach VV, Higashida RT, Dowd CF, Fraser KW, Edwards MS, Barnwell SL. Treatment of giant intradural (perimedullary) arteriovenous fistulas. Neurosurgery. 1993;33(6):972–9; discussion 979–80.
Antonietti L, Sheth SA, Halbach VV, Higashida RT, Dowd CF, Lawton MT, English JD, Hetts SW. Long-term outcome in the repair of spinal cord perimedullary arteriovenous fistulas. AJNR Am J Neuroradiol. 2010;31(10):1824–30. Epub Sep 2, 2010.
Barrow DL, Colohan AR, Dawson R. Intradural perimedullary arteriovenous fistulas (type IV spinal cord arteriovenous malformations). J Neurosurg. 1994;81:221–9.
Martin NA, Khanna RK, Batzdorf U. Posterolateral cervical or thoracic approach with spinal cord rotation for vascular malformations or tumors of the ventrolateral spinal cord. J Neurosurg. 1995;83(2):254–61.
Rodesch G, Hurth M, Alvarez H, Lasjaunias P. Embolisation of spinal cord arteriovenous malformations with glue through the anterior spinal axis: review of 20 cases. Interv Neuroradiol. 1997;3:131–43.
Hida K, Iwasaki Y, Goto K, et al. Results of the surgical treatment of perimedullary arteriovenous fistulas with special reference to embolization. J Neurosurg. 1999;90(4 Suppl):198–205.
Merland JJ, Reizine D. Treatment of arteriovenous spinal cord malformations. Semin Interv Radiol. 1987;4:281–90.
Rodesch G, Hurth M, Alvarez H, Tadie M, Lasjaunias P. Spinal cord intradural arteriovenous fistulae: anatomic, clinical, and therapeutic considerations in a series of 32 consecutive patients seen between 1981 and 2000 with emphasis on endovascular therapy. Neurosurgery. 2005;57(5):973–83; discussion 973–83.
Djindjian M, Djindjian R, Hurth M, Rey A, Houdart R. Spinal cord arteriovenous malformations and the Klippel-Trenaunay-Weber syndrome. Surg Neurol. 1977;8:229.
Biondi A, Merland JJ, Hodes JE, Pruvo JP, Reizine D. Aneurysms of spinal arteries associated with intramedullary arteriovenous malformations: I. Angiographic and clinical aspects. AJNR Am J Neuroradiol. 1992;13(3):913–22.
Biondi A, Merland JJ, Hodes JE, Aymard A, Reizine D. Aneurysms of spinal arteries associated with intramedullary arteriovenous malformations. II. Results of AVM endovascular treatment and hemodynamic considerations. AJNR Am J Neuroradiol. 1992;13(3):923–3.
Berenstein AL, Lasjaunias P. Spine and spinal cord vascular malformations. In: Surgical angiography, vol. 5. Berlin: Springer; 1992. p. 1–109.
Riché MC, Modenesi-Freitas J, Djindjian M, Merland JJ. Arteriovenous malformations (AVM) of the spinal cord in children. Arteriovenous malformations (AVM) of the spinal cord in children. A review of 38 cases. Neuroradiology. 1982;22(4):171–80.
Biondi A, Merland JJ, Reizine D, Aymard A, Hodes JE, Lecoz P, Rey A. Embolization with particles in thoracic intramedullary arteriovenous malformations: long-term angiographic and clinical results. Radiology. 1990;177(3):651–8.
Veznedaroglu E, Nelson PK, Jabbour PM, Rosenwasser RH. Endovascular treatment of spinal cord arteriovenous malformations. Neurosurgery. 2006;59(5 Suppl 3):S202–9; discussion S3–13.
Tissen TP. Use of different endovascular treatments for arteriovenous malformations of the spinal cord. Zh Vopr Neirokhir Im N N Burdenko. 2002;3:29–37.
Lundqvist C, Andersen O, Blomstrand C, Svendsen P, Sullivan M. Spinal arteriovenous malformations. Health-related quality of life after embolization. Acta Neurol Scand. 1994;90(5):337–44.
Connolly Jr ES, Zubay GP, McCormick PC, Stein BM. The posterior approach to a series of glomus (Type II) intramedullary spinal cord arteriovenous malformations. Neurosurgery. 1998;42:774–85.
Spetzler RF, Zabramski JM, Flom RA. Management of juvenile spinal AVMs by embolization and operative excision. Case report. J Neurosurg. 1989;70:628–32.
Sinclair L, Chang SD, Gibbs IC, Adler Jr JR. Multisession CyberKnife radiosurgery for intramedullary spinal cord arteriovenous malformations. Neurosurgery. 2006;58(6):1081–108.
Rengachary SS, Duke DA, Tsai FY, Kragel PJ. Spinal arterial aneurysm: case report. Neurosurgery. 1993;33(1):125–9; discussion 129–30.
Cobb S. Hemangioma of the spinal cord associated with skin naevi of the same metamere. Ann Surg. 1915;65:641–9.
Zevgaridis D, Medele RJ, Hamburger C, Steiger HJ, Reulen HJ. Cavernous haemangiomas of the spinal cord. A review of 117 cases. Acta Neurochir (Wien). 1999;141:237–45.
Deutsch H, Jallo GI, Faktorovich A, Epstein F. Spinal intramedullary cavernoma: clinical presentation and surgical outcome. J Neurosurg. 2000;93(1 Suppl):65–70.
Harrison MJ, Eisenberg MB, Ullman JS, Oppenheim JS, Camins MB, Post KD. Symptomatic cavernous malformations affecting the spine and spinal cord. Neurosurgery. 1995;37(2):195–204; discussion 204–5.
Cohen-Gadol AA, Jacob JT, Edwards DA, Krauss WE. Coexistence of intracranial and spinal cavernous malformations: a study of prevalence and natural history. J Neurosurg. 2006;104(3):376–81.
Kharkar S, Shuck J, Conway J, Rigamonti D. The natural history of conservatively managed symptomatic intramedullary spinal cord cavernomas. Neurosurgery. 2007;60(5):865–72; discussion 865–72.
Anson JA, Spetzler RF. Surgical resection of intramedullary spinal cord malformations. J Neurosurg. 1993;78:446–51.
Kivelev J, Niemelä M, Hernesniemi J. Outcome after microsurgery in 14 patients with spinal cavernomas and literature review. J Neurosurg Spine. 2010;13(4):524–34.
Jallo GI, Freed D, Zareck M, Epstein F, Kothbauer KF. Clinical presentation and optimal management for intramedullary cavernous malformations. Neurosurg Focus. 2006;21(1):e10.
Tacconi L, Lopez Izquierdo BC, Symon L. Outcome and prognostic factors in the surgical treatment of spinal dural arteriovenous fistulas. A long term study. Br J Neurosurg. 1997;11(4):298–305.
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Byrne, J.V. (2012). Vascular Malformations of the Spinal Cord. In: Tutorials in Endovascular Neurosurgery and Interventional Neuroradiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-19154-1_13
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