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- W2185894658 abstract "Background: Intradural perimedullary arteriovenous malformations arisen on the surface of the spinal cord and described mostly as fistulas are relatively rare lesions. Recently it was sug gested that they probably are a mixed group of malformations located on the surface of spinal cord. Methods: The radiologic and operative features of perimedullary arteriovenous malformations were analyzed in 42 consecutive cases. The patients were treated by endovascular, surgical or combined occlusionresection. Surgical and endovascular treatment results were carefully analysed and evaluated. Results: Perimedullary vascular malformations were subclassified into 4 groups: 1) cervical intradural perimedullary fistulas; 2) intradural perimedullary arteriovenous fistulas in thoracic region; 3) perimedullary arteriovenous fistulas of the spinal cord cone; and 4) perimedullary arteriovenous malformations. The prominent neurological improvement after treatment was observed in 9 patients. Partial regress was demonstrated in 21 patients, and in 9 patients the neurological symptoms remained unchanged. Clinical deterioration was observed in 3 patients. Conclusions: In perimedulary arteriovenous malformations, a surgical strategy should be based on the knowledge of changes in physiological parameters such as blood flow and of the individual anatomy of malformation. It was always essential to disconnect the distal portion of feeding vessel near a place where they empty into the draining veins." @default.
- W2185894658 created "2016-06-24" @default.
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- W2185894658 date "2012-01-01" @default.
- W2185894658 modified "2023-09-27" @default.
- W2185894658 title "Intradural Perimedullary Arteriovenous Malformations: Vascular Structure and Surgical" @default.
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