Armin K. Thron

Vascular Anatomy of the Spinal Cord (eBook, PDF)

Neuroradiological Investigations and Clinical Syndromes

• Format: PDF

Produktbeschreibung

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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Produktdetails

• Verlag: Springer Vienna
• Seitenzahl: 114
• Erscheinungstermin: 6. Dezember 2012
• Englisch
• ISBN-13: 9783709169476
• Artikelnr.: 53160338

Autorenporträt

Armin Thron is professor of Neuroradiology. Until March 2010 he was the Head of the Department of Neuroradiology at the University Clinic and Technical University Aachen, Germany. From 1996 until 1999 he was the President of the German Society of Neuroradiology and from 1996 until 2002 he was the President of the Professional Association of German Neuroradiologists. Prof. Thorn has a special interest in spinal diseases and vascular diseases of the spinal cord. He is author of various textbook contributions concerning mainly diagnostic and interventional neuroradiology.

Inhaltsangabe

I. Introduction.- II. Historical Background.- III. Applied Methods.- Anatomical Methods.- IV. Own Investigations.- V. Vascular Anatomy of the Spinal Cord and Spine.- A. Arterial blood supply: Embryology.- Segmental Supply to the Spine and Spinal Cord.-Extra- and Intraspinal Extradural Anastomoses.- The Spinal Branch.- Radicular and Radiculomedullary arteries.- Superficial Arteries of the Spinal Cord.- Intrinsic Arterial Systems.- Arterial Territories of Supply.- Arterio-arterial Anastomoses.- Special Features and Variations of the Arterial Supply Depending on Regions.- Spinal Cord Arteries in Space-occupying Lesions.- Discussion of Anatomical and Hemodynamical Aspects Concerning Arterial Supply.- B Venous Drainage: Intrinsic Veins.- Superficial Veins.- Transmedullary Venous Anastomoses.- Special Features and Variations of Venous Drainage Depending on Regions.- Radiculomedullary Veins and the Reflux-impeding Transdural Course.- Extradural Venous Spaces and the Extraspinal Venous System.- Special Features and Variations of Venous Drainage Depending on Regions.- Discussion of Anatomical and Hemodynamical Aspects Concerning Venous Drainage.- VI. Clinical applications.- Evaluation of Spinal Cord Angiograms in Normal and Pathological Conditions. Exemplary Cases.- Frequent pitfalls in diagnostic imaging of spinal cord blood vessels.- References.