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[PMID]:27368507
[Au] Autor:Ben Nsir A; Hadhri R; Kilani M; Chabaane M; Darmoul M; Hattab N
[Ad] Endereço:Department of Neurosurgery, Fattouma Bourguiba University Hospital, The University of Medicine of Monastir, Monastir, Tunisia. Electronic address: atefbn@hotmail.fr.
[Ti] Título:Epidural Venous Angioma Presenting with Spinal Cord Compression in a 42-Year-Old Woman with Previous History of Ovarian Malignancy.
[So] Source:World Neurosurg;93:488.e5-7, 2016 Sep.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Venous angioma is an extremely rare vascular malformation of the epidural space. To the best of our knowledge, only 5 cases have been documented to date and none has been reported in the setting of a previous malignancy. CASE DESCRIPTION: We report the case of a 42-year-old woman with a previous history of ovarian cancer, treated by surgery plus chemotherapy; who presented with signs of spinal cord compression for 3 weeks. Magnetic resonance imaging showed an intensely enhancing epidural mass at the T2-T6 level causing major spinal cord compression, for which urgent surgery was indicated. During surgery, the tumor was extremely hemorrhagic and the hemostasis was hazardous. Blood loss was estimated at 1.5 L, causing hemodynamic instability and requiring intensive resuscitation with fluids and blood transfusions. Gross total resection was achieved and the pathologic examination confirmed the diagnosis of venous angioma. The patient recovered quickly postoperatively and was able to walk independently within 2 weeks of starting intensive rehabilitation. She was symptom free with no clinical or radiologic evidence of recurrence at 1 year follow-up. CONCLUSIONS: Venous angioma should be included in the differential diagnosis of spinal epidural masses even in case of previous malignancy. Subtle imaging features should alert clinicians to this rare yet potentially life-threatening condition. Surgery remains the cornerstone of the treatment and can result in remarkable recovery.
[Mh] Termos MeSH primário: Angioma Venoso do Sistema Nervoso Central/cirurgia
Neoplasias Epidurais/secundário
Neoplasias Epidurais/cirurgia
Neoplasias Ovarianas/patologia
Neoplasias Ovarianas/cirurgia
Compressão da Medula Espinal/prevenção & controle
[Mh] Termos MeSH secundário: Angioma Venoso do Sistema Nervoso Central/complicações
Angioma Venoso do Sistema Nervoso Central/patologia
Diagnóstico Diferencial
Neoplasias Epidurais/patologia
Feminino
Seres Humanos
Meia-Idade
Compressão da Medula Espinal/diagnóstico por imagem
Compressão da Medula Espinal/etiologia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160703
[St] Status:MEDLINE


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[PMID]:27320373
[Au] Autor:Walcott BP; Choudhri O; Lawton MT
[Ad] Endereço:Department of Neurological Surgery, University of California, 505 Parnassus Avenue, M780, San Francisco, CA 94143-0112, USA. Electronic address: brian.walcott@ucsf.edu.
[Ti] Título:Brainstem cavernous malformations: Natural history versus surgical management.
[So] Source:J Clin Neurosci;32:164-5, 2016 Oct.
[Is] ISSN:1532-2653
[Cp] País de publicação:Scotland
[La] Idioma:eng
[Ab] Resumo:While brainstem cavernous malformations were once considered inoperable, improvements in patient selection, surgical exposures, intraoperative MRI-guidance, MR tractography, and neurophysiologic monitoring have resulted in good outcomes in the majority of operated patients. In a consecutive series of 104 patients with brainstem cavernous malformations, only 14% of patients experienced cranial nerve or motor dysfunction that was worse at late follow-up, relative to their preoperative condition. Outcomes were predicted by several factors, including larger lesion size, lesions that crossed the midline, the presence of a developmental venous anomaly, older age, and greater time interval from lesion hemorrhage to surgery. The 14% of patients who experienced a persistent neurological deficit as a result of surgery, while substantial from any perspective, compares favorably with the risks of observation based on a recent meta-analysis. Curative resection is a safe and effective treatment for brainstem cavernous malformations that will prevent re-hemorrhage in symptomatic patients.
[Mh] Termos MeSH primário: Hemangioma Cavernoso do Sistema Nervoso Central/cirurgia
Procedimentos Neurocirúrgicos/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Tronco Encefálico/patologia
Angioma Venoso do Sistema Nervoso Central/cirurgia
Nervos Cranianos/patologia
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:171001
[Lr] Data última revisão:
171001
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160621
[St] Status:MEDLINE


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[PMID]:27250700
[Au] Autor:Aoki R; Srivatanakul K
[Ad] Endereço:Department of Neurosurgery, Tokai University.
[Ti] Título:Developmental Venous Anomaly: Benign or Not Benign.
[So] Source:Neurol Med Chir (Tokyo);56(9):534-43, 2016 Sep 15.
[Is] ISSN:1349-8029
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Developmental venous anomalies (DVAs), previously called venous angiomas, are the most frequently encountered cerebral vascular malformations. However, DVA is considered to be rather an extreme developmental anatomical variation of medullary veins than true malformation. DVAs are composed of dilated medullary veins converging centripetally into a large collecting venous system that drains into the superficial or deep venous system. Their etiology and mechanism are generally accepted that DVAs result from the focal arrest of the normal parenchymal vein development or occlusion of the medullary veins as a compensatory venous system. DVAs per se are benign and asymptomatic except for under certain unusual conditions. The pathomechanisms of symptomatic DVAs are divided into mechanical, flow-related causes, and idiopathic. However, in cases of DVAs associated with hemorrhage, cavernous malformations (CMs) are most often the cause rather than DVAs themselves. The coexistence of CM and DVA is common. There are some possibilities that DVA affects the formation and clinical course of CM because CM related to DVA is generally located within the drainage territory of DVA and is more aggressive than isolated CM in the literature. Brain parenchymal abnormalities surrounding DVA and cerebral varix have also been reported. These phenomena are considered to be the result of venous hypertension associated with DVAs. With the advance of diagnostic imagings, perfusion study supports this hypothesis demonstrating that some DVAs have venous congestion pattern. Although DVAs should be considered benign and clinically silent, they can have potential venous hypertension and can be vulnerable to hemodynamic changes.
[Mh] Termos MeSH primário: Angioma Venoso do Sistema Nervoso Central/diagnóstico por imagem
Angioma Venoso do Sistema Nervoso Central/patologia
[Mh] Termos MeSH secundário: Angioma Venoso do Sistema Nervoso Central/etiologia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160603
[St] Status:MEDLINE
[do] DOI:10.2176/nmc.ra.2016-0030


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[PMID]:26803466
[Au] Autor:Li X; Wang Y; Chen W; Wang W; Chen K; Liao H; Lu J; Li Z
[Ad] Endereço:Department of Neurology, Guangdong 999 Brain Hospital, Shatai Road 578, 510510 Guangzhou, China.
[Ti] Título:Intracerebral hemorrhage due to developmental venous anomalies.
[So] Source:J Clin Neurosci;26:95-100, 2016 Apr.
[Is] ISSN:1532-2653
[Cp] País de publicação:Scotland
[La] Idioma:eng
[Ab] Resumo:Developmental venous anomalies (DVA) and cavernous malformations (CM) are a common form of mixed vascular malformation. The relationship between DVA, CM and hemorrhage is complicated. It is important to differentiate hemorrhagic CM and hemorrhagic DVA. A retrospective review of all patients with acute spontaneous intracerebral hemorrhages (ICH) between 1 May 2008 and 1 May 2013 was performed. ICH due to DVA or CM were identified and compared for demographic features, clinical symptoms, neurological deficits, and radiological findings. A total of 1706 patients with acute spontaneous ICH were admitted to our hospital during the study period. Among these, 10 (0.59%) were caused by DVA and 42 (2.47%) were caused by CM. No significant differences were found in age (p=0.252) or sex ratio (p=1.000) between the two groups. Compared with CM-induced ICH, DVA-induced ICH were characterized by cerebellar predominance (p=0.000) and less severe neurological deficits (p=0.008). Infratentorial hemorrhagic DVA are characterized by cerebellar predominance and benign clinical course. Infratentorial hemorrhagic CM are mainly located in the brainstem. DVA should be given suspected rather than CM when considering the etiology of a cerebellar hemorrhage, especially in young adults.
[Mh] Termos MeSH primário: Angioma Venoso do Sistema Nervoso Central/complicações
Doenças Cerebelares/etiologia
Hemorragia Cerebral/etiologia
[Mh] Termos MeSH secundário: Adulto
Tronco Encefálico/patologia
Doenças Cerebelares/patologia
Cerebelo/patologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1611
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160125
[St] Status:MEDLINE


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[PMID]:26255812
[Au] Autor:Kwon PM; Evans RW; Grosberg BM
[Ad] Endereço:Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
[Ti] Título:Cerebral Vascular Malformations and Headache.
[So] Source:Headache;55(8):1133-42, 2015 Sep.
[Is] ISSN:1526-4610
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Angioma Venoso do Sistema Nervoso Central/complicações
Angioma Venoso do Sistema Nervoso Central/diagnóstico
Cefaleia/etiologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150811
[St] Status:MEDLINE
[do] DOI:10.1111/head.12639


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[PMID]:25968963
[Au] Autor:Samadian M; Bakhtevari MH; Nosari MA; Babadi AJ; Razaei O
[Ad] Endereço:Department of Neurosurgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
[Ti] Título:Trigeminal Neuralgia Caused by Venous Angioma: A Case Report and Review of the Literature.
[So] Source:World Neurosurg;84(3):860-4, 2015 Sep.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Trigeminal neuralgia typically occurs in the middle-aged to elderly population, is believed to be related to abnormal conduction within the trigeminal nerve, and is possibly is attributable to changes in myelin induced by pulsatile mechanical trauma from an adjacent vessel. At the point just before it enters the brainstem, there is a short segment at which nerve axons are still ensheathed in central myelin (produced by oligodendrocytes), but after a few millimeters, there is a transition to peripheral myelin (produced by Schwann cells). The region of this transition is called the Obersteiner-Redlich zone. It is thought that the area of the nerve containing the central form of myelin is especially susceptible to pathologic changes from vascular contact that result in demyelination and altered conduction. When associated with a venous angioma at the root entry zone, trigeminal neuralgia usually presents at a younger age. METHODS: We report a 34-year-old man with a complaint of left hemifacial stabbing pain in maxillomandibular area that was triggered by chewing and speaking. On examination, no neurologic deficit was detected. The pain was not relieved significantly, even with the administration of carbamazepine. Magnetic resonance imaging demonstrated venous angioma in the left cerebello-pontine region. RESULTS: Microvascular decompression was performed uneventfully. The patient's pain was completely relieved without neurologic deficits. CONCLUSION: It seems that the trigeminal neuralgia caused by venous angioma may occur in the younger population. In most cases, the vessel that caused compression can be identified with magnetic resonance imaging without the need for intensive conventional angiography.
[Mh] Termos MeSH primário: Angioma Venoso do Sistema Nervoso Central/complicações
Angioma Venoso do Sistema Nervoso Central/cirurgia
Neuralgia do Trigêmeo/etiologia
Neuralgia do Trigêmeo/cirurgia
[Mh] Termos MeSH secundário: Adulto
Angiografia Digital
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Cirurgia de Descompressão Microvascular
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1511
[Cu] Atualização por classe:160519
[Lr] Data última revisão:
160519
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150514
[St] Status:MEDLINE


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[PMID]:25272719
[Au] Autor:Kalmykov MIu
[Ti] Título:[Cerebral artery fenestrations: incidence, association with cerebral arterial aneurysms and other vascular diseases according to the data of multislice spiral computed tomography angiography].
[So] Source:Vestn Rentgenol Radiol;(2):21-5, 2014 Mar-Apr.
[Is] ISSN:0042-4676
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:OBJECTIVE: To determine the incidence of fenestrations from multislice spiral computed tomography angiography (CTA) series and to establish the possible association of fenestrations with aneurysms and other vascular diseases of the brain. MATERIAL AND METHODS: Four hundred and eighty-six persons who had undergone brachiocephalic artery (BA) CTA for different clinical indications were selected for retrospective analysis. Postprocessor data processing was made to detect extra- and intracranial artery fenestrations. Saccular and fusiform cerebral aneurysms, arteriovenous malformations (AVMs), and venous angiomas were detected in addition to fenestrations. When aneurysms were concurrent with fenestrations, their locations were compared. RESULTS: Among the 486 patients, fenestrations were revealed in 50 (10.3%) cases, of which there were 46 (9.5%) intracranial artery fenestrations and 4 (0.8%) vertebral artery (VA) ones in the extracranial segments. Aneurysms of different locations were found in 163 (33.5%) patients. Venous angiomas of different locations were seen in 9 (1.9%) persons; AVMs were observed in 21 (4.3%) patients. Fifty-four multiple fenestrations were identified. The bulk of fenestrations were located in the area of the anterior communicating artery (ACA) in 28 (51.9%) patients. Aneurysms were found in 11 (22%) patients with fenestrations. Aneurysms were detected in 152 (34.9%) of 436 patients without fenestrations. The incidence of aneurysms was not statistically different in patients with and without fenestrations (p > 0.05); moreover, aneurysms were somewhat more common in patients without fenestrated vessels. Aneurysm located in the area of fenestration was in only one (9.1%) patient. In other cases aneurysms were located in the vessels having no fenestrations. Aneurysms were relatively frequently encountered in 5 (45.5%) patients with BA fenestration. There was no statistical difference in the incidence of AVMs in the fenestration and non-fenestration groups. Venous angiomas significantly more frequently occurred in patients with fenestrations (p < 0.05). CONCLUSION: CTA findings showed fenestrations 10.3% of patients. Fenestrations were located most frequently in the area of ACA and less frequently in the area of BA and middle cerebral artery. Those of other locations, concomitant and extracranial ones, were very rare. According to our data, there was no direct relationship of fenestrations to arterial aneurysms and AMVs. When fenestrations were in the area of BA, the incidence of aneurysms increased up to 45.5%. Venous angiomas occurred more commonly in patients with fenestrations.
[Mh] Termos MeSH primário: Angioma Venoso do Sistema Nervoso Central
Angiografia Cerebral/métodos
Artérias Cerebrais
Aneurisma Intracraniano
Malformações Arteriovenosas Intracranianas
Tomografia Computadorizada Multidetectores/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Angioma Venoso do Sistema Nervoso Central/diagnóstico por imagem
Angioma Venoso do Sistema Nervoso Central/epidemiologia
Artérias Cerebrais/anormalidades
Artérias Cerebrais/diagnóstico por imagem
Comorbidade
Feminino
Seres Humanos
Incidência
Aneurisma Intracraniano/diagnóstico por imagem
Aneurisma Intracraniano/epidemiologia
Malformações Arteriovenosas Intracranianas/diagnóstico por imagem
Malformações Arteriovenosas Intracranianas/epidemiologia
Masculino
Meia-Idade
Estudos Retrospectivos
Federação Russa/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1411
[Cu] Atualização por classe:161125
[Lr] Data última revisão:
161125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141003
[St] Status:MEDLINE


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[PMID]:24639010
[Au] Autor:Wu L; Yang T; Deng X; Yang C; Xu Y
[Ad] Endereço:Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, No.6 Tiantan Xili, Dongcheng District, 100050, Beijing, China.
[Ti] Título:Spinal epidural venous angioma: a case report and review of the literature.
[So] Source:Childs Nerv Syst;30(9):1601-5, 2014 Sep.
[Is] ISSN:1433-0350
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: As a vascular malformation, venous angioma in the spinal cord is extremely rare. To our knowledge, there are only five case reports in the literature, and it has not been previously reported in the pediatric age group. CASE REPORT: In this paper, we report on a 3-year-old patient who presented with progressive weakness in his left upper limb. Spinal magnetic resonance imaging (MRI) revealed an epidural cystic mass at the C6-T2 level. The lesion was diagnosed as venous angioma after total removal with laminectomy. Postoperatively, the patient remained symptom free, and no tumor recurrence was confirmed based on MRI at the time of the 18-month follow-up. The clinical, radiological, surgical, and pathological features of this abnormality are discussed, and all six reported cases were reviewed. CONCLUSION: Venous angiomas should be included in the differential diagnosis of spinal cystic lesions in children. A definitive diagnosis is difficult based on MRI alone. This rare lesion is amenable to surgery, and gross total removal (GTR) is usually achievable due to a well-demarcated dissection plane. A good clinical outcome after GTR can be expected.
[Mh] Termos MeSH primário: Angioma Venoso do Sistema Nervoso Central
Neoplasias da Medula Espinal
[Mh] Termos MeSH secundário: Pré-Escolar
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1504
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140319
[St] Status:MEDLINE
[do] DOI:10.1007/s00381-014-2397-4


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[PMID]:23397208
[Au] Autor:Yamgoue Tchameni YT; Messerer M; Zerlauth JB; Levivier M; Daniel RT
[Ad] Endereço:Service of Neurosurgery, Department of Clinical Neurosciences, Lausanne University Hospital, Lausanne, Switzerland, yamgoue.yves@gmail.com.
[Ti] Título:Isolated developmental venous anomaly of the pons with transpontine drainage: case report.
[So] Source:Clin Neuroradiol;24(1):77-81, 2014 Mar.
[Is] ISSN:1869-1447
[Cp] País de publicação:Germany
[La] Idioma:eng
[Mh] Termos MeSH primário: Angioma Venoso do Sistema Nervoso Central/diagnóstico
Veias Cerebrais/anormalidades
Ponte/anormalidades
Ponte/irrigação sanguínea
[Mh] Termos MeSH secundário: Idoso
Veias Cerebrais/diagnóstico por imagem
Veias Cerebrais/patologia
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Ponte/patologia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1410
[Cu] Atualização por classe:170916
[Lr] Data última revisão:
170916
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130212
[St] Status:MEDLINE
[do] DOI:10.1007/s00062-013-0206-1


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[PMID]:24093468
[Au] Autor:Nishimura Y; Hara M; Natsume A; Nakajima Y; Fukuyama R; Wakabayashi T; Ginsberg HJ
[Ad] Endereço:Department of Neurosurgery, Nagoya University, Nagoya, Japan;
[Ti] Título:Spinal intradural cystic venous angioma originating from a nerve root in the cauda equina.
[So] Source:J Neurosurg Spine;19(6):716-20, 2013 Dec.
[Is] ISSN:1547-5646
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A spinal intradural extramedullary venous angioma is extremely rare and has not been previously reported. In this paper, the authors report on this entity with morphological and immunohistochemical evidence, and discuss the surgical strategy for its treatment. A 54-year-old woman presented to Nagoya University Hospital complaining of left-sided pain in the hip, thigh, and inguinal and perianal regions, with progressive worsening during the previous 2 weeks. Lumbar spine MRI showed an intradural extramedullary cyst at the level of T12-L1, which extended from the conus medullaris to the cauda equina. The cyst wall was not enhanced on T1-weighted MRI with Gd. Intraoperatively, a midline dural opening allowed the authors to easily visualize a dark-reddish cyst behind the spinal nerve rootlets in the cauda equina adjacent to the conus medullaris. The cyst was believed to originate from one of the spinal nerve rootlets in the cauda equina and a cluster of veins was identified on the cyst wall. The cyst was resected with the affected nerve rootlet. The surgery left no detectable neurological deficit. Based on the morphological and immunohistochemical evidence, the lesion was diagnosed as a venous angioma. No tumor recurrence was confirmed based on MRI at the time of the 2-year follow up. This is the first report of an intradural extramedullary cystic venous angioma that was successfully resected.
[Mh] Termos MeSH primário: Angioma Venoso do Sistema Nervoso Central/patologia
Neoplasias da Medula Espinal/patologia
Medula Espinal/patologia
[Mh] Termos MeSH secundário: Cauda Equina/patologia
Angioma Venoso do Sistema Nervoso Central/cirurgia
Cistos/patologia
Cistos/cirurgia
Feminino
Seguimentos
Gadolínio
Seres Humanos
Aumento da Imagem
Vértebras Lombares/cirurgia
Imagem por Ressonância Magnética
Meia-Idade
Medula Espinal/irrigação sanguínea
Medula Espinal/cirurgia
Neoplasias da Medula Espinal/cirurgia
Raízes Nervosas Espinhais/patologia
Vértebras Torácicas/cirurgia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
AU0V1LM3JT (Gadolinium)
[Em] Mês de entrada:1402
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:131008
[St] Status:MEDLINE
[do] DOI:10.3171/2013.8.SPINE121012



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