Spinal Vascular Malformations: Treatment and Outcome

AKGÜN M. Y., KEMERDERE R., ULU M. O., ALIZADA O., İŞLER C., KIZILKILIÇ O., ...Daha Fazla

WORLD NEUROSURGERY, cilt.130, 2019 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 130
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1016/j.wneu.2019.07.043
  • Dergi Adı: WORLD NEUROSURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Anahtar Kelimeler: Arteriovenous fistula, Outcome, Spinal, Treatment, Vascular malformations, DURAL ARTERIOVENOUS-FISTULAS, CLINICAL-FEATURES, SURGICAL-TREATMENT
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet

Özet

BACKGROUND: Vascular malformations of the spinal cord are a rare and complex clinical entity and can lead to severe morbidity with progressive spinal cord symptoms if not treated properly. In early stages, the disease is characterized by slowly progressive, nonspecific symptoms, such as gait disturbance, paresthesia, diffuse sensory symptoms, and radicular pain; in the late stages, bowel and bladder incontinence, erectile dysfunction, and urinary retention may develop. In recent decades, understanding and treatment of spinal vascular malformations have improved with the evolution of diagnostic tools and treatment modalities; however, it is still difficult to manage these cases because of the complexity of the pathology. The aims of this study were to present the long-term outcomes of our patients and to discuss the optimal management strategies.