Spinal Angiomas

1. Front Matter

   Pages I-XII

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2. Morphologic Aspects

   1. Blood Supply and Vascular Pathology of the Spinal Cord

      • Guy Lazorthes

      Pages 1-17

   2. Pathology of Spinal Vascular Malformations and Vascular Tumors

      • Kurt Jellinger

      Pages 18-44

3. Discussion

   1. Operative Findings in Spinal Angiomas

      • Hermann Hager

      Pages 45-47

4. Clinical Aspects

   1. Symptomatology of Spinal Angiomas

      • Hans Werner Pia

      Pages 48-74

   2. Clinical Symptomatology and Natural History of Arteriovenous Malformations of the Spinal Cord

      • Michel Djindjian

      Pages 75-83

5. Radiologic Aspects

   1. Radiologic Findings in Spinal Angiomas — Plain X-Rays, Myelography, and Spinal Phlebography

      • Agnolo Lino Agnoli, Albrecht Laun, Hans Werner Pia, Heinzgeorg Vogelsang

      Pages 84-97

   2. Angiography in Angiomas of the Spinal Cord

      • René Djindjian

      Pages 98-136

6. Therapeutic Aspects

   1. Operative Treatment of Spinal Angiomas

      • Hans Werner Pia

      Pages 137-160

   2. Surgical Treatment of Intramedullary and Anterior Spinal Angiomas

      • A. Rey, Michel Djindjian, René Djindjian, R. Houdart

      Pages 161-170

   3. Operative Treatment of Spinal Angioblastomas

      • M. G. Yasargil, R. W. Fiedeler, Th. P. Rankin

      Pages 171-188

7. Embolization

   1. Treatment of Spinal Angiomas by Embolization

      • René Djindjian

      Pages 189-200

   2. Embolization of Spinal Arteriovenous Malformations

      • John L. Doppman

      Pages 201-208

8. Back Matter

   Pages 209-230

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The rapid development of diagnostic and therapeutic procedures in the management of spinal angiomas has opened up new possibilities and provided better chances for the patients concerned. The greatest impetus to this pro­ gress was given by the introduction of selective and superselective spinal angiography, microsurgical technique, and embolization. These sophisticated techniques and the skill required for their use are far from being routine in the neurosurgical and neuroradiologic departments. In spite of the rarity of spinal angiomas, the application of the above-mentioned procedures is the prerequisite for improving early diagnosis and giving timely adequate treat­ ment. Delay in diagnosis and treatment are still the main cause of unsatisfac­ tory results. In the last 10 -20 years, several groups in Europe and the USA have done important and fundamental work in introducing and developing the diganos­ tic and therapeutic armamentarium. Based on the pioneering work of their teachers and the classic contribution of Wyburn - Mason in 1943, they simultaneously improved the morphologic, physiologic, and clinical basis of our knowledge. Although progress is going on and many problems have to be solved, the general principles of clinical diagnosis, operative treatment, and embolization have been laid down and are to be published in a special monograph on this topic.

• angiography
• development
• diagnosis
• management
• pathology
• patients
• spinal cord
• surgical technique
• therapy
• treatment
• tumor

• Zentrum für Neurochirurgie, der Justus Liebig-Universität Giessen, Giessen, Germany

  Hans Werner Pia

• Département de Neuroradiologie à la Faculté de Médecine de Paris, Paris, France

  René Djindjian

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