Malformação vascular da medula cérvico-torácica diagnosticada pela angiografia de artéria intercostal tratamento cirúrgico

A case of vascular malformation on the cervico-thoracic level of spinal cord localized by selective spinal angiography is reported. The patient was treated surgically by ligadure of the "feeder" vessel. Following surgery the patient gradually improved and ten months later returned to his f...

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Main Authors: Oscar Fontenelle Filho, Glieb Avila Pereira, Pedro Angelo Andreioulo
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 1971-09-01
Series:Arquivos de Neuro-Psiquiatria
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1971000300009&lng=en&tlng=en
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author Oscar Fontenelle Filho
Glieb Avila Pereira
Pedro Angelo Andreioulo
author_facet Oscar Fontenelle Filho
Glieb Avila Pereira
Pedro Angelo Andreioulo
author_sort Oscar Fontenelle Filho
collection DOAJ
description A case of vascular malformation on the cervico-thoracic level of spinal cord localized by selective spinal angiography is reported. The patient was treated surgically by ligadure of the "feeder" vessel. Following surgery the patient gradually improved and ten months later returned to his full activity. The diagnostic and surgical importance of spinal angiography and its contribution to the morphological study of the spinal cord vascular malformations is enphasized. Spinal angiography gives the most accurate information as to the size and extent of the malformation and also the precise location of the "feeder" vessels. Direct operation upon the spinal cord with removal or oblitations of vessels or ligadure of the feeder vessels are the best procedures. The advantages and limitations of both surgical methods are discussed. Total excision is best done under the operating microscope, being essential the use of the bipolar coagulator. The authors feel that the surgical results will be more impressive when spinal angiography will be easily available as to permit earlier diagnosis and surgery before the development of important neurological deficits.
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spelling doaj.art-40104d3881e2400eaef6aeb2dfb137042022-12-22T03:37:14ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42271971-09-0129335536210.1590/S0004-282X1971000300009S0004-282X1971000300009Malformação vascular da medula cérvico-torácica diagnosticada pela angiografia de artéria intercostal tratamento cirúrgicoOscar Fontenelle Filho0Glieb Avila Pereira1Pedro Angelo Andreioulo2Hospital Municipal Miguel CoutoHospital Municipal Souza AguiarRadiologista da Clínica Emilio AmorimA case of vascular malformation on the cervico-thoracic level of spinal cord localized by selective spinal angiography is reported. The patient was treated surgically by ligadure of the "feeder" vessel. Following surgery the patient gradually improved and ten months later returned to his full activity. The diagnostic and surgical importance of spinal angiography and its contribution to the morphological study of the spinal cord vascular malformations is enphasized. Spinal angiography gives the most accurate information as to the size and extent of the malformation and also the precise location of the "feeder" vessels. Direct operation upon the spinal cord with removal or oblitations of vessels or ligadure of the feeder vessels are the best procedures. The advantages and limitations of both surgical methods are discussed. Total excision is best done under the operating microscope, being essential the use of the bipolar coagulator. The authors feel that the surgical results will be more impressive when spinal angiography will be easily available as to permit earlier diagnosis and surgery before the development of important neurological deficits.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1971000300009&lng=en&tlng=en
spellingShingle Oscar Fontenelle Filho
Glieb Avila Pereira
Pedro Angelo Andreioulo
Malformação vascular da medula cérvico-torácica diagnosticada pela angiografia de artéria intercostal tratamento cirúrgico
Arquivos de Neuro-Psiquiatria
title Malformação vascular da medula cérvico-torácica diagnosticada pela angiografia de artéria intercostal tratamento cirúrgico
title_full Malformação vascular da medula cérvico-torácica diagnosticada pela angiografia de artéria intercostal tratamento cirúrgico
title_fullStr Malformação vascular da medula cérvico-torácica diagnosticada pela angiografia de artéria intercostal tratamento cirúrgico
title_full_unstemmed Malformação vascular da medula cérvico-torácica diagnosticada pela angiografia de artéria intercostal tratamento cirúrgico
title_short Malformação vascular da medula cérvico-torácica diagnosticada pela angiografia de artéria intercostal tratamento cirúrgico
title_sort malformacao vascular da medula cervico toracica diagnosticada pela angiografia de arteria intercostal tratamento cirurgico
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1971000300009&lng=en&tlng=en
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AT gliebavilapereira malformacaovasculardamedulacervicotoracicadiagnosticadapelaangiografiadearteriaintercostaltratamentocirurgico
AT pedroangeloandreioulo malformacaovasculardamedulacervicotoracicadiagnosticadapelaangiografiadearteriaintercostaltratamentocirurgico