Jianxin Du1, Feng Ling, Ming Chen, Hongqi Zhang. 1. Department of Neurological Surgery, Xuanwu Hospital, Capital University of Medical Sciences, Beijing, 100053, China.
Abstract
OBJECTIVE: Seventy-two pediatric spinal vascular malformation cases were reviewed and the characteristics of their clinical symptoms, diagnoses, and therapies were analyzed. MATERIALS AND METHODS: A thorough overview was compiled examining patient sex, age, location, history, development, treatment, clinical, and anatomical results. RESULTS: Spinal cord arteriovenous malformation was the most common (44.4%) subtype to be seen in these pediatric patients, while subdural perimedullary arteriovenous fistula (23.6%) was the second, followed by Cobb's syndrome (13.9%) and intramedullary cavernous angioma (5.6%). No spinal dual arteriovenous fistulae were found in infants. The highest incidence was seen during the infant and adolescent periods. Sixty-nine cases were treated by surgeries, embolizations, or a combination of both, and 71.5% of them had improved. CONCLUSIONS: Early diagnosis and treatment are required. Surgery and embolization, or a combination of the two, are the current candidates for treatment.
OBJECTIVE: Seventy-two pediatric spinal vascular malformation cases were reviewed and the characteristics of their clinical symptoms, diagnoses, and therapies were analyzed. MATERIALS AND METHODS: A thorough overview was compiled examining patient sex, age, location, history, development, treatment, clinical, and anatomical results. RESULTS:Spinal cord arteriovenous malformation was the most common (44.4%) subtype to be seen in these pediatric patients, while subdural perimedullary arteriovenous fistula (23.6%) was the second, followed by Cobb's syndrome (13.9%) and intramedullary cavernous angioma (5.6%). No spinal dual arteriovenous fistulae were found in infants. The highest incidence was seen during the infant and adolescent periods. Sixty-nine cases were treated by surgeries, embolizations, or a combination of both, and 71.5% of them had improved. CONCLUSIONS: Early diagnosis and treatment are required. Surgery and embolization, or a combination of the two, are the current candidates for treatment.
Authors: Danielle Eckart Sorte; Andrea Poretti; Scott D Newsome; Eugen Boltshauser; Thierry A G M Huisman; Izlem Izbudak Journal: Pediatr Radiol Date: 2015-01-31
Authors: G Saliou; A Tej; M Theaudin; M Tardieu; A Ozanne; M Sachet; D Ducreux; K Deiva Journal: AJNR Am J Neuroradiol Date: 2014-03-13 Impact factor: 3.825