Neurovascular malformations: diagnosis and intervention
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1998
|
| Schriftenreihe: | Neuroimaging clinics of North America
8,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | IX S., S. 263 - 496 Ill. |
Internformat
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INEUROVASCULAR MALFORMATIONS:
DIAGNOSIS AND INTERVENTION
CONTENTS
Preface xi
Eric J. Russell and Joel R. Meyer
Differential Diagnosis of Nontraumatic Intracranial Hemorrhage 263
Joel R. Meyer and Michael T. Gorey
Intracranial hemorrhage is a common initial symptom of intracranial vascu¬
lar malformations. Although CT remains important in the acute setting,
MR imaging has proved invaluable for diagnosis and characterization of
intracranial hemorrhage. MR imaging of hemorrhage and the differential
diagnosis of nontraumatic intracranial hemorrhage is presented in this ar¬
ticle.
Classification of Vascular Malformations of the Central Nervous
System 295
John C. Chaloupka and Daniel C. Huddle
The ability to systematically and meaningfully classify a disease is in many
ways a reflection of our overall understanding of it. Over time, nosologic
schemes applied to any disease typically undergo a characteristic evolution
from purely descriptive, to pathoanatomic and/or embryologic, to finally
biological definitions. With the recent developments in further elucidating
the pathophysiology, histopathology, natural history, and cellular biology
of various vascular malformations occurring within the central nervous
system, it is time to derive a more comprehensive and universal classifica¬
tion system that integrates classic pathoanatomic schemes with a biologically
defined scheme previously developed for systematic vascular malforma¬
tions. Such a system is proposed and discussed, including detailed review
of important subtypes.
Imaging of Angiographically Occult Cerebral Vascular
Malformations 323
Danial K. Hallam and Eric J. Russell
The angiographically occult vascular malformations represent an important
cause of cerebral pathology. The propensity for significant yet often limited
NEURODVtAGING CLINICS OF NORTH AMERICA
VOLUME 8 • NUMBER 2 • MAY 1998 vii
symptomatology provides for frequent challenge in clinical management.
Understanding in diagnostic evaluation of occult vascular lesions is often
limited by varying application of pathologic diagnosis and classification.
This article attempts to clarify issues of classification while also discussing
imaging evaluation and its role in clinical management.
MR Angiography of Vascular Malformations 349
Prabhakar P. Kesava and Patrick A. Turski
Magnetic resonance angiography (MRA) plays an important role in the
evaluation of cerebrovascular disease. This is especially true in the diagnosis
and management of cerebral vascular malformations. Both time of flight
and phase contrast MRA techniques have proved useful for the imaging of
all types of cerebral vascular malformations including AVMs, dural fistulas,
cavernous malformations, and venous angiomas. The role of MRA in the
evaluation of these lesions is discussed.
Basic Concepts of Functional Arteriovenous MR Imaging
Malformations 371
Patrick A. Turski, Dietmar Cordes, Brian Mock, Gary Wendt, James A. Sorenson,
Michelle Fitzurka Quigley, Charles Strother, and Robert Dempsey
This article reviews the technical features of functional MR imaging. Exam¬
ples are presented demonstrating how MR imaging may be used to identify
primary cortical regions adjacent to AVMs. Preliminary results suggest
that cortical functions may undergo translocation when the AVM involves
eloquent cortex. This finding underscores the importance of cortical map¬
ping prior to surgical excision.
Brain Arteriovenous Malformations 383
Robert C. Wallace and Eric C. Bourekas
The diagnostic evaluation of a brain arteriovenous malformation requires
a thorough understanding of the imaging features seen on CT, MR, and
conventional angiography. Therapeutic planning requires a comprehen¬
sive understanding of the angioarchitecture of AVMs, necessitation selec¬
tive and superselective angiography in order to give an accurate assess¬
ment of the lesion. This article will discuss the diagnostic work up of AVMs.
AVM treatment requires a multidisciplinary approach that includes inter
ventional neuroradiology, radiosurgery, and neurosurgery. The consider¬
ations and philosophies of each discipline will discussed in order to pro¬
vide the perspective required for the comprehensive treatment of
AVMs.
Endovascular Therapy of Intracranial Arteriovenous Malformations:
Materials and Techniques 401
John P. Deveikis
Endovascular therapy can be an integral part of the treatment plan for
patients with brain AVMs Safe and successful AVM embolization requires
familiarity with the devices and techniques used and keen awareness of
the potential pitfalls and complications. This article reviews the technical
aspects of endovascular therapy of brain AVMs, with reference to specific
therapeutic goals.
viii CONTENTS
I Direct Arteriovenous Fistulas (Carotid Cavernous and Vertebral
Venous): Diagnosis and Intervention 425
Y. Pierre Gobin, Gary R. Duckwiler, and Fernando Vinuela
Carotid cavernous and vertebral venous fistulas are direct arteriovenous
fistulas. Their symptoms range from benign to extremely severe ophthalmo
logic or neurologic complications. Mechanism of symptoms is mostly related
to venous drainage. Therapy is widely indicated, as today s endovascular
techniques—using mostly detachable balloons and coils—have a high suc¬
cess rate and very few complications.
Diagnosis and Treatment of Dural Arteriovenous Fistulas 445
Adel M. Malek, Van V. Halbach, Christopher F. Dowd, and Randall T. Higashida
Dural arteriovenous fistulas (DAVFs) are abnormal vascular connections
located within the dura mater which are thought to be promoted by venous
hypertension and venous sinus thrombosis. The symptoms associated with
DAVFs depend on the direction and adequacy of venous drainage pathways,
the amount of arteriovenous shunting and specific location of the fistula.
Our experience over a period of eight years with 268 patients suffering
from cranial DAVFs in the transverse, sigmoid, superior sagittal, ethmoidal,
inferior and superior petrosal, cavernous, and marginal sinuses are pre¬
sented. The clinical presentation, radiographic evaluation, and treatment
modalities for DAVFs in each of these locations are summarized.
Combined Interventional and Surgical Treatment of Arteriovenous
Malformations 469
Sami Rosenblatt, Adam I. Lewis, and John M. Tew
This article describes the combined interventional and surgical treatment
of arteriovenous malformations. The development of embolization as an
adjunct to microsurgical resection of arteriovenous malformations has ex¬
panded the therapeutic armamentarium in the treatment of these lesions.
Patient selection, indications, technical aspects as well as avoidance and
treatment of complications with regard to endovascular embolization are
discussed. Four individual cases are presented to show how embolization
can be combined with microsurgery to achieve optimal treatment results.
Radiosurgical Management of Intracranial Vascular Malformations 483
John C. Flickinger, Douglas Kondziolka, Bruce E. Pollock,
and L. Dade Lunsford
Stereotactic radiosurgery is an important treatment option for arteriovenous
malformations (AVMs) and hemorrhagic cavernous malformations. Radio
surgery is effective in obliterating AVMs and preventing rebleeding of
cavernous malformations with two or more hemorrhagic episodes. Outcome
analyses of radiosurgery for these vascular malformations have provided
important information to improve the safety and effectiveness of radiosurgi¬
cal treatment.
Index 493
Subscription Information Inside back cover
CONTENTS ix
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| title | Neurovascular malformations diagnosis and intervention |
| title_auth | Neurovascular malformations diagnosis and intervention |
| title_exact_search | Neurovascular malformations diagnosis and intervention |
| title_full | Neurovascular malformations diagnosis and intervention Eric J. Russell ... guest ed. |
| title_fullStr | Neurovascular malformations diagnosis and intervention Eric J. Russell ... guest ed. |
| title_full_unstemmed | Neurovascular malformations diagnosis and intervention Eric J. Russell ... guest ed. |
| title_short | Neurovascular malformations |
| title_sort | neurovascular malformations diagnosis and intervention |
| title_sub | diagnosis and intervention |
| topic | Angiopathies intracrâniennes - Diagnostic Cerebrovascular Disorders diagnosis Hirngefäß (DE-588)4191572-0 gnd Gefäßmissbildung (DE-588)4019653-7 gnd |
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