Vascular Anatomy of the Spinal Cord Neuroradiological Investigations
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 pa
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Vascular Anatomy of the Spinal Cord N euroradiological Investigations and Clinical Syndromes With collaboration of Ch. Rossberg and A. Mironov
Springer-Verlag Wien New York
Armin K. Thron, M.D. Professor of Neuroradiology Department of Neuroradiology, University of Tiibingen, Federal Republic of Germany Present address: Department of Neurology, Klinikum RWTH Aachen, Federal Republic of Germany
This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. © 1988 by Springer-Verlag Wien
Softcover reprint ofthe hardcover 1st edition 1988
With 74 partly colored Figures
ISBN-13: 978-3-7091-7446-3 DOl: 10.1007/978-3-7091-6947-6
e-ISBN-13: 978-3-7091-6947-6
Preface
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 cerebrovascular 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. Much more physiological and pathophysiological data will have to be collected for this to be possibly accomplished in the future. Our present diagnostic standard is illustrated by the neuroradiological studies in patients with spinal vascular malformations. The primary intent of this book, however, is a contribution to the widely unknown anatomy of the medullary venous system. Many angiographical findings indicate an important pathogenetic role of the s
