Clinical Features and Outcomes of Spinal Cord Arteriovenous Malformations Comparison Between Nidus and Fistulous Types
DC Field | Value | Language |
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dc.contributor.author | Lee, Young-Jun | - |
dc.contributor.author | Terbrugge, Karel G. | - |
dc.contributor.author | Saliou, Guillaume | - |
dc.contributor.author | Krings, Timo | - |
dc.date.accessioned | 2022-07-16T03:06:50Z | - |
dc.date.available | 2022-07-16T03:06:50Z | - |
dc.date.created | 2021-05-12 | - |
dc.date.issued | 2014-09 | - |
dc.identifier.issn | 0039-2499 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/159196 | - |
dc.description.abstract | Background and Purpose-As a result of the rarity of spinal cord arteriovenous malformations (AVM), there are only a few series available that describe clinical features, outcome after treatment, and natural history of these lesions. In this article, we aim to describe our experience with both nidus-and fistulous-type spinal cord AVMs. Methods-Forty-four consecutive patients with spinal cord AVMs were retrospectively reviewed. There were 26 patients with a nidus-type and 18 patients with a fistulous-type AVM. Treatments were performed with embolization (n=23), surgery (n=13), combined embolization-surgery (n=3), or conservative management (n=5). Clinical features, radiological findings, treatment results, and clinical outcomes were assessed. Results-Patients with nidus-type AVMs were younger at presentation and more often presented with hemorrhage, with a higher proportion of hematomyelia than fistulous-type AVMs (P<0.05). Progression of clinical presentation from hemorrhage to congestive myelopathy during follow-up was noted in 5 patients, all of which had AVMs of the nidus type. Complete obliteration could be achieved more often in the fistulous type (72%) than in the nidus type (27%). Improved or stable clinical status at last follow-up was noted in 100% of fistulous-type and 77% of nidus-type patients. Long-term clinical deterioration was noted in 6 of 26 patients with nidus-type (23%) AVMs and was related to recurrent bleeding (n=3) or progressive venous congestion (n=3). Overall rebleed rate after presentation with hemorrhage was 7 in 145.5 patient-years (4.8%/y) if the lesion was not treated, 3 in 102 patient-years (2.9%/y) after partial treatment, and 0 in 47.5 patient-years (0%) after complete treatment. Conclusions-Nidus and fistulous spinal cord AVMs have different clinical features and obliteration rates, which may affect their long-term prognosis. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.title | Clinical Features and Outcomes of Spinal Cord Arteriovenous Malformations Comparison Between Nidus and Fistulous Types | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lee, Young-Jun | - |
dc.identifier.doi | 10.1161/STROKEAHA.114.006087 | - |
dc.identifier.scopusid | 2-s2.0-84906816178 | - |
dc.identifier.wosid | 000341491500030 | - |
dc.identifier.bibliographicCitation | STROKE, v.45, no.9, pp.2606 - 2612 | - |
dc.relation.isPartOf | STROKE | - |
dc.citation.title | STROKE | - |
dc.citation.volume | 45 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 2606 | - |
dc.citation.endPage | 2612 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Peripheral Vascular Disease | - |
dc.subject.keywordPlus | 155 CONSECUTIVE PATIENTS | - |
dc.subject.keywordPlus | VASCULAR MALFORMATIONS | - |
dc.subject.keywordPlus | BICETRE EXPERIENCE | - |
dc.subject.keywordPlus | SHUNTS | - |
dc.subject.keywordAuthor | arteriovenous malformations | - |
dc.subject.keywordAuthor | embolization | - |
dc.subject.keywordAuthor | spinal cord | - |
dc.subject.keywordAuthor | surgery | - |
dc.subject.keywordAuthor | treatment outcome | - |
dc.identifier.url | https://www.ahajournals.org/doi/10.1161/STROKEAHA.114.006087 | - |
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