Sage Journals: Discover world-class research

Abstract

We describe 19 (16.0%) multiple vascular malformations (AVMs) in 119 spinal cord arteriovenous malformations (SCAVMs).

The associated lesions were eight vertebral vascular malformations, two cutaneous, four limbs, four radicular AVMs, three bifocal SCAVMs; one patient had a bifocal cord lesion associated with vertebral and limb localisations. Various syndromic associations were seen: nine Cobb, two Klippel-Trenaunay-Weber, one Parkes Weber. An additional subgroup of unclassified associations is constituted by seven cases with bifocal intradural uni or multimetamerk lesions.

In our SCAVMs series, the incidence of multiple vascular lesions is high, in particular multifocal intradural malformations. Metameric distribution is the most frequent type of multiplicity. Identification of the myelomeric level involved in SCAVM allows segmental link between various lesions of mesodermal or neural crest origin to be discussed.

Keywords

spinal cord arteriovenous malformation radicular arteriovenous malformations multiple arteriovenous malformations Cobb syndrome Klippel-Trenaunay-Weber syndrome

Get full access to this article

View all access options for this article.

References

Berenstein

Lasjaunias

: Surgical Neuroangiography, vol 5. Endovascular treatment of spine and spinal cord lesions. Springer-Verlag, Berlin Heidelberg New York, 1992.

Cogen

Stein

: Spinal arteriovenous malformations with significant intramedullary components. J Neurosurg 59: 471–478, 1983.

Fukushima

Hamano

: A case of multiple arteriovenous malformations and diffuse venous abnormalities with facial port-wine stain. Child's Nerv Syst 5: 114–117, 1989.

Hanieh

Blumbergs

: Arteriovenous malformations associated with soft-tissue vascular malformations: Case report. J Neurosurg 54: 670–672, 1981.

Iizuka

Rodesch

: Multiple cerebral arteriovenous shunts in children: Report of 13 cases. Child's Nerv Syst 8: 437–444, 1992.

Mizutani

Tanaka

: Multiple arteriovenous malformations located in the cerebellum, posterior fossa, spinal cord, dura, and scalp with association of port-wine slain and supratentorial venous anomaly. Neurosurgery 31: 137–141, 1992.

Reddy

West

: Multiple intracerebral arteriovenous malformations: A case report and a literature review. Surg Neurol 27: 495–499, 1987.

Schlachter

Fleischer

: Multifocal intracranial arteriovenous malformations. Neurosurgery 7: 440–444, 1980.

Smith

Barth

: Congenital multiple angiomatosis with brain involvement. Childs Brain 8: 461–467, 1981.

10.

Stone

Crowell

: Bilateral parietal arteriovenous malformations: Report of a case. Neurosurgery 5: 587–592, 1983.

11.

Tada

Sugita

: Supra and infratentorial arteriovenous malformations with an aneurysmal dilatation: A case report. Neurosurgery 5: 831–834, 1986.

12.

Tamaki

Fujita

: Multiple arteriovenous malformations involving the scalp, dura, retina, cerebrum and posterior fossa: Case report. J Neurosurg 34: 95–98, 1971.

13.

Zellem

Buchheil

: Multiple intracranial arteriovenous malformations: Case report. Neurosurgery 17: 88–93, 1985.

14.

Berenstein

: Technique of catheterization and embolisation of the lenticulostriate arteries. J Neurosurg 54: 783–789, 1981.

15.

Willinsky

Lasjaunias

: Multiple cerebral arteriovenous malformations: Review of our experience from 203 patients with cerebral vascular lesions. Neuroradiology 32: 207–210, 1990.

16.

Meisel

Lasjaunias

: Multiple arteriovenous malformations of the spinal cord in an adolescent: Case report. Neuroradiology 38: 490–493, 1996.

17.

Kissel

Dureux

: Cutaneo-meningo-spinal angiomatosis or syndrome de Cobb. In: Handbook of Neurology. Vinken

. and Bruyn

, Editors, Amsterdam, New York. London 1972: 129–445.

18.

Parkes-Weber

: Haemangiectatic hypertrophy of limbs congenital phlebarteriectasis and so-called congenital varicose. Br J Child Dis 15: 13–23, 1918.

19.

Klippel

Trenaunay

: Du Naevus variqueux osteohypertrophique. Arch Gen Med 77: 641–672, 1900.

20.

Djindjian

: Spinal cord arteriovenous malformations and the Klippel-Trenaunay-Weber syndrome. Surg Neurol 8: 229–237, 1977.

21.

Benhaiem-Sigaux

Zerah

: A retromedullary arteriovenous fistula associated with the Klippel-Trenaunay-Weber svndrome. Acta Neuropathol (Berl) 66: 318–324, 1985.

22.

Couly

Coltey

: The angiogenetic potentials of the cephalic mesoderm and the origin of brain and head blood vessels. Mechanisms of development 53: 97–112, 1995.

23.

Lasjaunias

: Vascular diseases in neonates, infants and children. Springer, Berlin 1997.

Multifocal and Metameric Spinal Cord Arteriovenous Malformations

Abstract

Keywords

Get full access to this article

References