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Spinal Vascular Malformations: Treatment and Outcome
Mehmet Yigit Akgun1, Rahsan Kemerdere1, Mustafa Onur Ulu1
1Department of Neurosurgery, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey.
World Neurosurgery
|July 15, 2019
Summary
Spinal vascular malformations can cause severe symptoms but are treatable. Most patients treated with embolization or surgery experienced significant recovery and improved quality of life.
Area of Science:
- Neurology
- Neurosurgery
- Interventional Radiology
Background:
- Spinal vascular malformations are rare, complex conditions causing progressive neurological deficits.
- Early symptoms include gait disturbance and sensory changes; late stages involve incontinence and dysfunction.
- Despite advances, managing these malformations remains challenging.
Purpose of the Study:
- To present long-term outcomes of patients with spinal vascular malformations.
- To discuss optimal management strategies for these complex cases.
Main Methods:
- Retrospective case series of 78 patients with spinal vascular malformations.
- Evaluation of outcomes after embolization and/or surgery for various types of spinal vascular malformations.
- Assessment of initial occlusion, recanalization, retreatment, and neurologic status.
Main Results:
- No mortality was observed in the study cohort.
- Complete obliteration of the malformations was achieved in 97.4% of patients (76 out of 78).
Conclusions:
- Both endovascular and surgical treatments are effective for spinal vascular malformations.
- These treatments lead to significant long-term recovery from myelopathic symptoms and improved quality of life.
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