Classifications of spinal arteriovenous malformations. Review
https://doi.org/10.17650/1683-3295-2020-22-4-129-135
Abstract
Our work is a review of various classification options for complex vascular pathology of the spinal cord, taking into account its historical changes as experience accumulates. Classifications of spinal arteriovenous malformations are very complex and the literature on this problem is presented in a small number of works. We conducted an analysis of 33 scientific articles in order to understand the classification of spinal arteriovenous malformations, its evolution and presented the most significant options for practicing neurosurgeons, endovascular surgeons. However, we did not find a classification that could satisfy the entire scientific community.
About the Authors
A. M. Perfilyev
Federal Neurosurgical Center (Novosibirsk), Ministry of Health of Russia
Russian Federation
132/ 1 Nemirovicha-Danchenko St., Novosibirsk 630087
Russian Federation
132/ 1 Nemirovicha-Danchenko St., Novosibirsk 630087
J. A. Rzaev
Federal Neurosurgical Center (Novosibirsk), Ministry of Health of Russia
Russian Federation
132/ 1 Nemirovicha-Danchenko St., Novosibirsk 630087
Russian Federation
132/ 1 Nemirovicha-Danchenko St., Novosibirsk 630087
V. S. Kiselev
Federal Neurosurgical Center (Novosibirsk), Ministry of Health of Russia
Russian Federation
132/ 1 Nemirovicha-Danchenko St., Novosibirsk 630087
Russian Federation
132/ 1 Nemirovicha-Danchenko St., Novosibirsk 630087
References
1. Tissen T.P. Endovascular treatment of arteriovenous malformations of the spinal cord. Moscow, 2006. 360 p. (In Russ.).
2. Thron A. [Spinal dural arteriovenous fistulas (In German)]. Radiologe 2001;41(11):955-60. DOI: 10.1007/s001170170031.
3. Lad S.P., Santarelli J.G., Patil C.G. et al. National trends in spinal arteriovenous malformations. Neurosurg Focus 2009;26(1):1-5. DOI: 10.3171/FOC.2009.26.1.E10.
4. Yu J., Hong T., Krings T. et al. Natural history of spinal cord arteriovenous shunts: an observational study. Brain 2019;142(8):2265-75. DOI: 10.1093/brain/awz153.
5. Flores B.C., Klinger D.R., White J.A., Batjer H.H. Spinal vascular malformations: treatment strategies and outcome. Neurosurg Rev 2017;40(1):15-28. DOI: 10.1007/s10143-016-0713-z.
6. Akopov S.E., Schievink W. History of spinal cord vascular malformations and their treatment. Semin Cerebrovasc Dis Stroke 2002;2(3):179. DOI: 10.1053/scds.2002.128825.
7. Di Chiro G., Doppman J.L., Ommaya A.K. Radiology of spinal cord arteriovenous malformations. Prog Neurol Surg 1971;4:329-54. DOI: 10.1159/000391825.
8. Djindjian M., Djindjian R., Rey A. et al. Intradural extramedullary spinal arteriovenous malformations fed by the anterior spinal artery. Surg Neurol 1977;8(2):85-93.
9. Heros R.C., Debrun G.M., Ojemann R.G. et al. Direct spinal arteriovenous fistula: a new type of spinal AVM. Case report. J Neurosurg 1986;64(1):134-9. DOI: 10.3171/jns.1986.64.1.0134.
10. Rosenblum B., Oldfield E.H., Doppman J.L., Di Chiro G. Spinal arteriovenous malformations: a comparison of dural arteriovenous fistulas and intradural AVM’s in 81 patients. J Neurosurg 1987;67(6):795-802. DOI: 10.3171/jns.1987.67.6.0795.
11. Tissen T.P. The clinical signs, diagnostics and endovascular treatment of dural arteriovenous fistulas of spinal cord. Neyro-khirurgiya = Russian Journal of Neurosurgery 2016;(2):9-15. (In Russ.). DOI: 10.17650/1683-3295-2016-0-2-9-15.
12. Babichev K.N., Orlov V.P., Stanishevskiy A.V. et al. Spinal dural arteriovenous fistulas. A series of clinical cases and an analysis of the literature data. Zhurnal “Voprosy neyrokhirurgii” im. N.N. Burdenko = Burdenko’s Journal of Neurosurgery 2017;81(4):33-44. (In Russ.). DOI: 10.17116/neiro201781433-42.
13. Evzikov G.Y., Parfenov V.A., Farafontov A.V. et al. Clinical aspects, diagnostics and microsurgical treatment of spinal dural arteriovenous fistulas (lecture). Neyrokhirurgiya = Russian Journal of Neurosurgery 2019;21(2):53-65. (In Russ.). DOI: 10.17650/1683-32952019-21-2-53-65.
14. Gross B.A., Du R. Spinal glomus (type II) arteriovenous malformations: a pooled analysis of haemorrhage risk and results of intervention. Neurosurgery 2013;72(1):25-32. DOI: 10.1227/NEU.0b013e318276b5d3.
15. Aminoff M.J., Logue V. The prognosis of patients with spinal vascular malformations. Brain 1974;97:211-8. DOI: 10.1093/brain/97.1.211.
16. Gross B.A., Du R. Spinal juvenile (type III) extradural-intradural arteriovenous malformations. J Neurosurg Spine 2014;20:452-8. DOI: 10.3171/2014.1.SPINE13498.
17. Gross B.A., Du R. Spinal pial (type IV) arteriovenous fistulae: a systematic pooled analysis of demographics, hemorrhage risk, and treatment results. Neurosurgery 2013;73:141-51. DOI: 10.1227/01.neu.0000429848.91707.73.
18. Merland J.J., Riche M.C., Chiras J. Intraspinal extramedullary arteriovenous fistulae draining into the medullary veins. J Neuroradiol 1980;7(4):271-320.
19. Gueguen B., Merland J.J., Riche M.C., Rey A. Vascular malformations of the spinal cord: intrathecal perimedul-lary arteriovenous fistulas fed by medullary arteries. Neurology 1987;37:969-79. DOI: 10.1212/wnl.37.6.969.
20. Mourier K.L., Gobin Y.P., George B. et al. Intradural perimedullary arteriovenous fistulae: results of surgical and endovascular treatment in a series of 35 cases. Neurosurgery 1993;32(6):885-91. DOI: 10.1227/00006123-199306000-00001.
21. Anson J.A., Spetzler R.F. Classification of spinal arteriovenous malformations and implications for treatment. Barrow Neurol Inst Q 1992;8:2-8.
22. Bao Y.H., Ling F. Classification and therapeutic modalities of spinal vascular malformations in 80 patients. Neurosurgery 1997;40:75-81. DOI: 10.1097/00006123-199701000-00017.
23. Johnson W.D., Petrie M.M. Variety of spinal vascular pathology seen in adult Cobb syndrome. J Neurosurg Spine 2009;10(5):430-5. DOI: 10.3171/2009.1.SPINE08334.
24. Spetzler R.F., Detwiler P.W., Riina H.A., Porter R.W. Modified classification of spinal cord vascular lesions. J Neurosurg 2002;96(2 Suppl):145-56. DOI: 10.3171/spi.2002.96.2.0145.
25. El Mahdi M.A., Rudwan M.A., Khaffaji S.M., Jadallah F.A. A giant spinal aneurysm with cord and root compression. J Neurol Neurosurg Psychiatry 1989;52(4):532-5. DOI: 10.1136/jnnp.52.4.532.
26. Vishteh A.G., Brown A.P., Spetzler R.F. Aneurysm of the intradural artery of Adamkiewicz treated with muslin wrapping: technical case report. Neurosurgery 1997;40(1):207-9. DOI: 10.1097/00006123-19970100000047.
27. Ozpinar A., Weiner G.M., Ducruet A.F. Epidemiology, clinical presentation, diagnostic evaluation, and prognosis of spinal arteriovenous malformations. In: Handbook of clinical neurology. Vol. 143 (3rd series). Arteriovenous and cavernous malformations. Ed. by R.F. Spetzler, K. Moon, R.O. Almefty. Elsevier, 2017. DOI: 10.1016/B978-0-444-63640-9.00014-X.
28. Lasjaunias P. Spinal cord vascular lesions. J Neurosurg 2003;98(Suppl 1):117-9. DOI: 10.3171/spi.2003.98.1.0117.
29. Rodesch G., Hurth M., Alvarez H. et al. Classification of spinal cord arteriovenous shunts: proposal for a reappraisal -the Bice tie experience with 155 consecutive patients treated between 1981 and 1999. Neurosurgery 2002;51(2):374-9.
30. Takai K. Spinal arteriovenous shunts: angioarchitecture and historical changes in classification. Neurol Med Chir (Tokyo) 2017;57(7):356-65. DOI: 10.2176/nmc.ra.2016-0316.
31. Zozulya Y.P., Slinko E.I. Spinal arteriovenous malformations: classification, differentiated surgical tactics, results of treatment. Ukrainsky neyrokhirurgiches-kiy zhurnal = Ukrainian Neurosurgical Journal 2005;(2):4-19. (In Russ.).
32. Rangel-Castilla L., Holman P.J., Krishna C. et al. Spinal extradural arteriovenous fistulas: a clinical and radiological description of different types and their novel treatment with Onyx. J Neurosurg Spine 2011;15(5):541-9. DOI: 10.3171/2011.6.SPINE10695.
33. Takai K., Kin T., Oyama H. et al. Threedimensional angioarchitecture of spinal dural arteriovenous fistulas, with special reference to the intradural retrograde venous drainage system. J Neurosurg Spine 2013;18(4):398-408. DOI: 10.3171/2013.1.SPINE12305.
Review
For citations:
Perfilyev A.M., Rzaev J.A., Kiselev V.S. Classifications of spinal arteriovenous malformations. Review. Russian journal of neurosurgery. 2020;22(4):129-135. (In Russ.) https://doi.org/10.17650/1683-3295-2020-22-4-129-135
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