Value of Prominent Flow Voids without Cord Edema in the Detection of Spinal Arteriovenous Fistulae
Identifieur interne : 000900 ( Main/Exploration ); précédent : 000899; suivant : 000901Value of Prominent Flow Voids without Cord Edema in the Detection of Spinal Arteriovenous Fistulae
Auteurs : Lea M. Alhilali ; Arich R. Reynolds ; Saeed FakhranSource :
- PLoS ONE [ 1932-6203 ] ; 2014.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Angiographie, Dure-mère (imagerie diagnostique), Dure-mère (physiopathologie), Enfant, Enfant d'âge préscolaire, Femelle, Fistule artérioveineuse (), Fistule artérioveineuse (diagnostic), Fistule artérioveineuse (imagerie diagnostique), Fistule artérioveineuse (physiopathologie), Humains, Hydrodynamique, Jeune adulte, Moelle spinale (imagerie diagnostique), Moelle spinale (physiopathologie), Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives.
- MESH :
- diagnostic : Fistule artérioveineuse.
- imagerie diagnostique : Dure-mère, Fistule artérioveineuse, Moelle spinale.
- physiopathologie : Dure-mère, Fistule artérioveineuse, Moelle spinale.
- Adolescent, Adulte, Adulte d'âge moyen, Angiographie, Enfant, Enfant d'âge préscolaire, Femelle, Fistule artérioveineuse, Humains, Hydrodynamique, Jeune adulte, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Angiography, Arteriovenous Fistula (complications), Arteriovenous Fistula (diagnosis), Arteriovenous Fistula (diagnostic imaging), Arteriovenous Fistula (physiopathology), Child, Child, Preschool, Dura Mater (diagnostic imaging), Dura Mater (physiopathology), Female, Humans, Hydrodynamics, Male, Middle Aged, Retrospective Studies, Spinal Cord (diagnostic imaging), Spinal Cord (physiopathology), Young Adult.
- MESH :
- complications : Arteriovenous Fistula.
- diagnosis : Arteriovenous Fistula.
- diagnostic imaging : Arteriovenous Fistula, Dura Mater, Spinal Cord.
- physiopathology : Arteriovenous Fistula, Dura Mater, Spinal Cord.
- Adolescent, Adult, Aged, Aged, 80 and over, Angiography, Child, Child, Preschool, Female, Humans, Hydrodynamics, Male, Middle Aged, Retrospective Studies, Young Adult.
Abstract
To determine the prevalence of spinal dural arteriovenous fistulae (SDAVF) in patients presenting with prominent vascular flow voids on imaging without other imaging findings suggestive of SDAVF.
We retrospectively identified patients from January 1, 2005 to March 1, 2012 who underwent spinal angiography for suspected SDAVF with prominent vascular flow voids on prior imaging. We excluded patients with other major spinal pathology or other imaging findings of SDAVF including cord hyperintensity, enhancement, or expansion. We calculated the proportion of patients with positive findings for SDAVF on angiography and evaluated the prevalence of SDAVF for this finding alone and in correlation with clinical findings.
18 patients underwent spinal angiography for prominent flow voids on imaging without other spinal pathology or imaging findings of SDAVF. Three had a SDAVF detected on angiography. The prevalence of SDAVF in this population was low, only 17% (95% CI 6-39%). All of the patients with positive angiography findings had myelopathy, increasing the prevalence to 100% if the additional clinical finding of myelopathy was present.
Prominent flow voids without other imaging findings suggestive of SDAVF is poorly predictive of the presence of a SDAVF, unless myelopathy is present clinically.
Url:
DOI: 10.1371/journal.pone.0099004
PubMed: 24905497
PubMed Central: 4048235
Affiliations:
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Reynolds</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Fakhran, Saeed" sort="Fakhran, Saeed" uniqKey="Fakhran S" first="Saeed" last="Fakhran">Saeed Fakhran</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24905497</idno><idno type="pmc">4048235</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4048235</idno><idno type="RBID">PMC:4048235</idno><idno type="doi">10.1371/journal.pone.0099004</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001D55</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001D55</idno><idno type="wicri:Area/Pmc/Curation">001D30</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001D30</idno><idno type="wicri:Area/Pmc/Checkpoint">000081</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000081</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">002880</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002880</idno><idno type="wicri:Area/PubMed/Curation">002867</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002867</idno><idno type="wicri:Area/PubMed/Checkpoint">002867</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002867</idno><idno type="wicri:Area/Ncbi/Merge">002404</idno><idno type="wicri:Area/Ncbi/Curation">002404</idno><idno type="wicri:Area/Ncbi/Checkpoint">002404</idno><idno type="wicri:Area/Main/Merge">000903</idno><idno type="wicri:Area/Main/Curation">000900</idno><idno type="wicri:Area/Main/Exploration">000900</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Value of Prominent Flow Voids without Cord Edema in the Detection of Spinal Arteriovenous Fistulae</title><author><name sortKey="Alhilali, Lea M" sort="Alhilali, Lea M" uniqKey="Alhilali L" first="Lea M." last="Alhilali">Lea M. Alhilali</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Reynolds, Arich R" sort="Reynolds, Arich R" uniqKey="Reynolds A" first="Arich R." last="Reynolds">Arich R. Reynolds</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Fakhran, Saeed" sort="Fakhran, Saeed" uniqKey="Fakhran S" first="Saeed" last="Fakhran">Saeed Fakhran</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Angiography</term><term>Arteriovenous Fistula (complications)</term><term>Arteriovenous Fistula (diagnosis)</term><term>Arteriovenous Fistula (diagnostic imaging)</term><term>Arteriovenous Fistula (physiopathology)</term><term>Child</term><term>Child, Preschool</term><term>Dura Mater (diagnostic imaging)</term><term>Dura Mater (physiopathology)</term><term>Female</term><term>Humans</term><term>Hydrodynamics</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Spinal Cord (diagnostic imaging)</term><term>Spinal Cord (physiopathology)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Angiographie</term><term>Dure-mère (imagerie diagnostique)</term><term>Dure-mère (physiopathologie)</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Fistule artérioveineuse ()</term><term>Fistule artérioveineuse (diagnostic)</term><term>Fistule artérioveineuse (imagerie diagnostique)</term><term>Fistule artérioveineuse (physiopathologie)</term><term>Humains</term><term>Hydrodynamique</term><term>Jeune adulte</term><term>Moelle spinale (imagerie diagnostique)</term><term>Moelle spinale (physiopathologie)</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Arteriovenous Fistula</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Arteriovenous Fistula</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Fistule artérioveineuse</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Arteriovenous Fistula</term><term>Dura Mater</term><term>Spinal Cord</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Dure-mère</term><term>Fistule artérioveineuse</term><term>Moelle spinale</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Dure-mère</term><term>Fistule artérioveineuse</term><term>Moelle spinale</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Arteriovenous Fistula</term><term>Dura Mater</term><term>Spinal Cord</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Angiography</term><term>Child</term><term>Child, Preschool</term><term>Female</term><term>Humans</term><term>Hydrodynamics</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Angiographie</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Fistule artérioveineuse</term><term>Humains</term><term>Hydrodynamique</term><term>Jeune adulte</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>To determine the prevalence of spinal dural arteriovenous fistulae (SDAVF) in patients presenting with prominent vascular flow voids on imaging without other imaging findings suggestive of SDAVF.</p></sec><sec><title>Methods</title><p>We retrospectively identified patients from January 1, 2005 to March 1, 2012 who underwent spinal angiography for suspected SDAVF with prominent vascular flow voids on prior imaging. We excluded patients with other major spinal pathology or other imaging findings of SDAVF including cord hyperintensity, enhancement, or expansion. We calculated the proportion of patients with positive findings for SDAVF on angiography and evaluated the prevalence of SDAVF for this finding alone and in correlation with clinical findings.</p></sec><sec><title>Results</title><p>18 patients underwent spinal angiography for prominent flow voids on imaging without other spinal pathology or imaging findings of SDAVF. Three had a SDAVF detected on angiography. The prevalence of SDAVF in this population was low, only 17% (95% CI 6-39%). All of the patients with positive angiography findings had myelopathy, increasing the prevalence to 100% if the additional clinical finding of myelopathy was present.</p></sec><sec><title>Conclusions</title><p>Prominent flow voids without other imaging findings suggestive of SDAVF is poorly predictive of the presence of a SDAVF, unless myelopathy is present clinically.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Krings, T" uniqKey="Krings T">T Krings</name></author><author><name sortKey="Geibprasert S Spinal Dural Arteriovenous, Fistulas" uniqKey="Geibprasert S Spinal Dural Arteriovenous F">fistulas Geibprasert S. Spinal dural arteriovenous</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jellema, K" uniqKey="Jellema K">K Jellema</name></author><author><name sortKey="Tijssen, Cc" uniqKey="Tijssen C">CC Tijssen</name></author><author><name sortKey="Sluzewski, M" uniqKey="Sluzewski M">M Sluzewski</name></author><author><name sortKey="Van Asbeck, Fw" uniqKey="Van Asbeck F">FW van Asbeck</name></author><author><name sortKey="Koudstaal, Pj" uniqKey="Koudstaal P">PJ Koudstaal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marcus, J" uniqKey="Marcus J">J Marcus</name></author><author><name sortKey="Schwarz, J" uniqKey="Schwarz J">J Schwarz</name></author><author><name sortKey="Singh, Ip" uniqKey="Singh I">IP Singh</name></author><author><name sortKey="Sigounas, D" uniqKey="Sigounas D">D Sigounas</name></author><author><name sortKey="Knopman, J" uniqKey="Knopman J">J 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sortKey="Higashida, Rt" uniqKey="Higashida R">RT Higashida</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mull, M" uniqKey="Mull M">M Mull</name></author><author><name sortKey="Nijenhuis, Rj" uniqKey="Nijenhuis R">RJ Nijenhuis</name></author><author><name sortKey="Backes, Wh" uniqKey="Backes W">WH Backes</name></author><author><name sortKey="Krings, T" uniqKey="Krings T">T Krings</name></author><author><name sortKey="Wilmink, Jt" uniqKey="Wilmink J">JT Wilmink</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Masaryk, Tj" uniqKey="Masaryk T">TJ Masaryk</name></author><author><name sortKey="Ross, Js" uniqKey="Ross J">JS Ross</name></author><author><name sortKey="Modic, Mt" uniqKey="Modic M">MT Modic</name></author><author><name sortKey="Ruff, Rl" uniqKey="Ruff R">RL Ruff</name></author><author><name sortKey="Selman, Wr" uniqKey="Selman W">WR Selman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hurst, Rw" uniqKey="Hurst R">RW Hurst</name></author><author><name sortKey="Grossman, Ri" uniqKey="Grossman R">RI Grossman</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Alhilali, Lea M" sort="Alhilali, Lea M" uniqKey="Alhilali L" first="Lea M." last="Alhilali">Lea M. Alhilali</name><name sortKey="Fakhran, Saeed" sort="Fakhran, Saeed" uniqKey="Fakhran S" first="Saeed" last="Fakhran">Saeed Fakhran</name><name sortKey="Reynolds, Arich R" sort="Reynolds, Arich R" uniqKey="Reynolds A" first="Arich R." last="Reynolds">Arich R. Reynolds</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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