Spinal vascular lesions: anatomy, imaging techniques and treatment

Ros, Valerio Da; Picchi, Eliseo; Ferrazzoli, Valentina; Schirinzi, Tommaso; Sabuzi, Federico; Grillo, Piergiorgio; Muto, Massimo; Garaci, Francesco; Muto, Mario; Giuliano, Francesca Di

doi:10.1016/j.ejro.2021.100369

Cited by 14 publications

(3 citation statements)

References 79 publications

(112 reference statements)

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“…Noninflammatory myelopathies are diagnosed when a constellation of vascular, structural, or metabolic disease mechanisms are involved rather than when inflammatory mechanisms lead to spinal cord dysfunction ( table 1-6 70,71 ). Toxic, genetic, and neoplastic processes (not discussed in this article) may also contribute to spinal cord pathology.…”

Section: An Integrative Approach To Diagnosis Of Myelopathymentioning

confidence: 99%

Clinical Approach to Myelopathy Diagnosis

Pardo

2024

CONTINUUM: Lifelong Learning in Neurology

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OBJECTIVE This article describes an integrative strategy to evaluate patients with suspected myelopathy, provides advice on diagnostic approach, and outlines the framework for the etiologic diagnosis of myelopathies. LATEST DEVELOPMENTS Advances in diagnostic neuroimaging techniques of the spinal cord and improved understanding of the immune pathogenic mechanisms associated with spinal cord disorders have expanded the knowledge of inflammatory and noninflammatory myelopathies. The discovery of biomarkers of disease, such as anti–aquaporin 4 and anti–myelin oligodendrocyte glycoprotein antibodies involved in myelitis and other immune-related mechanisms, the emergence and identification of infectious disorders that target the spinal cord, and better recognition of myelopathies associated with vascular pathologies have expanded our knowledge about the broad clinical spectrum of myelopathies. ESSENTIAL POINTS Myelopathies include a group of inflammatory and noninflammatory disorders of the spinal cord that exhibit a wide variety of motor, sensory, gait, and sensory disturbances and produce major neurologic disability. Both inflammatory and noninflammatory myelopathies comprise a broad spectrum of pathophysiologic mechanisms and etiologic factors that lead to specific clinical features and presentations. Knowledge of the clinical variety of myelopathies and understanding of strategies for the precise diagnosis, identification of etiologic factors, and implementation of therapies can help improve outcomes.

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Section: An Integrative Approach To Diagnosis Of Myelopathymentioning

confidence: 99%

Clinical Approach to Myelopathy Diagnosis

Pardo

2024

CONTINUUM: Lifelong Learning in Neurology

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“…The anterior spinal artery is formed from the two vertebral arteries and supplies the anterior two-thirds of the cord. The paired posterior arteries arise from the vertebral artery or the posterior cerebellar artery and supply the posterior one-third of the cord 1. The anterior two-thirds of the cord houses the ascending pathways of the lateral spinothalamic tract, which functions in pain and temperature sensation, and the anterior spinothalamic tract, which functions in ipsilateral touch and pressure sensation and the descending pathway of the lateral corticospinal tract to control voluntary movement of contralateral limbs.…”

Section: Review Of Spinal Anatomy and Symptomsmentioning

confidence: 99%

“…of the cord. 1 The anterior two-thirds of the cord houses the ascending pathways of the lateral spinothalamic tract, which functions in pain and temperature sensation, and the anterior spinothalamic tract, which functions in ipsilateral touch and pressure sensation and the descending pathway of the lateral corticospinal tract to control voluntary movement of contralateral limbs. The posterior third of the cord contains the dorsal columns, which provides pressure, vibration, fine touch, and proprioception sensation.…”

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Nontraumatic Spine Emergencies: A Primer for the On-Call Radiologist

Convery,

Cohen,

Patel

2023

Contemporary Diagnostic Radiology

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Myelopathy is defined as rapidly developing muscle weakness, sensory deficit, and loss of bowel and bladder sphincter control. The differential for atraumatic myelopathy includes both extrinsic and intrinsic causes, with the former including disc herniations with compressive myelopathy, osteomyelitis with epidural abscess, and leptomeningeal spread of disease whereas the latter includes acute inflammatory processes like Guillain-Barre syndrome or demyelinating disease, and spinal cord tumors.

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Spinal Cavernous Angioma (Cavernoma)

Akhaddar

2023

Atlas of Sciatica

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Spinal vascular lesions: anatomy, imaging techniques and treatment

Cited by 14 publications

References 79 publications

Clinical Approach to Myelopathy Diagnosis

Clinical Approach to Myelopathy Diagnosis

Nontraumatic Spine Emergencies: A Primer for the On-Call Radiologist

Spinal Cavernous Angioma (Cavernoma)

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