Vascular Diseases of the Spinal Cord: A Review

Heldner, Mirjam Rachel; Arnold, Marcel; Nedeltchev, Krassen; Gralla, Jan; Beck, Jürgen; Fischer, Urs (2012). Vascular Diseases of the Spinal Cord: A Review. Current treatment options in neurology, 14(6), pp. 509-520. Philadelphia, Pa.: Current Science Inc. 10.1007/s11940-012-0190-9

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OPINION STATEMENT: • In acute spinal cord ischemia syndrome (ASCIS), treatment recommendations are derived from data of cerebral ischemic stroke, atherosclerotic vascular disease and acute spinal cord injury. Besides acute management, secondary prevention is of major importance. Pathologies affecting the aorta as well as underlying cerebrovascular conditions should be treated whenever possible.• ASCIS may occur after aortic surgery, less often after thoracic endovascular aortic repair (TEVAR). Protocols are proposed.• Acute spinal cord hemorrhage can be treated surgically and/or pharmacologically.• Symptomatic treatment in patients with a spinal cord lesion is of major importance. Depending on level and extension of the lesion, there is a risk for systemic and neurological complications, which may be life-threatening.• Each spinal vascular malformation is a unique lesion that needs an individualized treatment algorithm. In case of a symptomatic vascular malformation, endovascular intervention is the primary treatment option.• Spinal dural Arteriovenous fistula (AVF) may be treated endovascularly or surgically. If preoperative localization of the fistula is possible, surgery is feasible with a low complication rate. In comparison, endovascular approaches are less invasive.• Spinal AVM are rather treated endovascularly than surgically or in a stepwise multidisciplinary approach.• Symptomatic and exophytic spinal cavernous angiomas should be treated surgically. Deep spinal cavernous angiomas that are asymptomatic or only show mild symptoms can be observed.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery

UniBE Contributor:

Heldner, Mirjam Rachel; Arnold, Marcel; Nedeltchev, Krassen; Gralla, Jan; Beck, Jürgen and Fischer, Urs

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1092-8480

Publisher:

Current Science Inc.

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:26

Last Modified:

26 Jun 2018 14:57

Publisher DOI:

10.1007/s11940-012-0190-9

PubMed ID:

22875306

Web of Science ID:

000311200400001

BORIS DOI:

10.7892/boris.9432

URI:

https://boris.unibe.ch/id/eprint/9432 (FactScience: 215169)

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