Vascular Anatomy of the Spinal Cord: Neuroradiological Investigations and Clinical Syndromes

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Springer Science & Business Media, Mar 25, 1988 - Medical - 114 pages
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The idea for this treatise on the radiological anatomy of superficial and deep spinal cord vasculature evolved from daily routine neuroradiological work. This was also the reason for subdividing the monograph into a postmortem anatomical and a clinical part. The actual importance of a clear conception of radio anatomic fundamentals was made clear by many clinical conferences with neurologists, neurosurgeons and orthopedists, where a lack of knowledge about medullary syndromes of suspected vascular origin became evident. Also among neuroradiologists there is still widespread uncertainty in the interpretation of myelograms and angiographies in such cases. A study of the spinal cord's angioarchitecture is all the more justified and necessary considering the vast number of descriptions of cerebro vascular anatomy and pathology. The clinical challenge posed by patients suffering from partial or complete transverse spinal lesions has grown due to new diagnostic and therapeutic approaches. Myelography using water-soluble contrast media, X-ray computed tomography, magnetic resonance imaging and spinal angiography today allow and require both earlier and topographically and pathogenetically more exact classification of diseases of the spinal cord and its surrounding structures. Due to progress in microneurosurgery and interventional neuroradiology, even intramedullary lesions have become more and more accessible and treatable. Therefore this monograph mainly addresses those concerned with invasive therapeutic techniques and who are familiar with the interpretation of radio anatomic findings. A comprehensive description of medullary vascular syndromes would be beyond the scope of this treatise.
 

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Contents

I Introduction
II Previous Studies on the Spinal Vascular System
i
III Experimental Methods and Clinical Examination Techniques
ii
3 Radiographic Techniques
iii
33 Clinical Spinal Angiography
ii
IV Anatomy of the Spinal Cords Blood Supply
iv
3 Extramedullary Venous Drainage
11
V Postmortem Angiography and Microangiography of Spinal Cord Vessels
13
5 Discussion of Arteriographical Findings Physiological Aspects
37
B Veins
39
2 Intrinsic Venous System
51
3 Transmedullary Venous Anastomoses
55
4 Discussion of Phlebographical Findings Physiological Aspects
56
C Capillaries of the Spinal Cord
58
VI Clinical Applications
65
22 Angiographical Findings and Their Classification
66

12 Thoracic Region
17
13 Thoracolumbar Region
18
2 Intrinsic Arterial System
26
22 Peripheral System Vasocorona
32
3 Arterial Territories of Supply
34
4 Arterioarterial Anastomoses
35
23 Discussion
95
3 Vertebrospinal Spaceoccupying Lesions
105
VII Pathomorphological and Pathophysiological Aspects
106
References
109
Subject Index
113
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