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Updated: Aug 23, 2026

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
[MR appearance of the spinal canal vascular malformations]
Marek Sasiadek1, Zdzisława Bem
1Katedra i Zakład Radiologii, Akademii Medycznej we Wrocławiu. mareks@rad.am.wroc.pl
Abstract:
Vascular malformations of the spinal canal are rare and their clinical appearance is not specific. The authors demonstrate material of 6 patients, who have been diagnosed with magnetic resonance imaging (MR). MR studies in all cases showed tortuous foci of very low signal, compatible with pathological vessels. In 2 patients malformations were also visible on MR angiography and confirmed with conventional angiography. Besides, in 2 cases features of secondary spinal cord oedema (thickening and hyper-intensity on T2-weighted images) have been shown. One patient had spinal cord haematoma which was not visible on MR and has been diagnosed with computed tomography (CT). In the authors' opinion MR is an efficient method of diagnosing and evaluating spinal canal vascular malformations and should be the first diagnostic study in these cases.
Insights
Magnetic resonance imaging (MR) is effective for diagnosing rare spinal canal vascular malformations. This study highlights MR
Area of Science:
- Neurology
- Radiology
- Vascular Medicine
Background:
- Spinal canal vascular malformations are uncommon and present with non-specific clinical signs.
- Accurate diagnosis is crucial for appropriate management and preventing complications.
Purpose of the Study:
- To evaluate the efficacy of magnetic resonance imaging (MR) in diagnosing spinal canal vascular malformations.
- To describe the characteristic MR findings associated with these rare conditions.
Main Methods:
- Retrospective analysis of 6 patients diagnosed with spinal canal vascular malformations.
- All patients underwent magnetic resonance imaging (MR).
- MR angiography and conventional angiography were used in select cases; computed tomography (CT) was used in one case.
Main Results:
- MR identified tortuous, low-signal foci consistent with pathological vessels in all 6 patients.
- MR angiography visualized malformations in 2 patients, confirmed by conventional angiography.
- Spinal cord edema was noted in 2 patients; spinal cord hematoma was diagnosed via CT in one patient.
Conclusions:
- Magnetic resonance imaging (MR) is a highly efficient diagnostic tool for spinal canal vascular malformations.
- MR should be the initial imaging modality for suspected cases.
- Comprehensive evaluation may involve MR angiography and conventional angiography.
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