Selective spinal arteriography

Oh, K K; Choi, B S; Kim, Y S

Abstract

Although spinal arteriography has been used since Tarlov demonstrated a spinal extradural hemangioblastoma byangiography carried out during surgery, its diagnostic technique was still surrounded by an esoteric halo, becauseits misconceptions regarding technical difficulty, misgivings about its reported dangers, and mistaken opinion oflimited usefulness confined to arteriovenous malformations of the spinal cord. However, these mistaken opinionswere soon corrected by Di Chiro1) in 1964 who carried out first successful selective arteriography of spinal cordin injecting contrast medium into the intercostal and lumbar arteries. Di Chiro commented on experience withselective spinal arteriography of the spinal cord in normal cases and in patients with pathology other thanarteriovenous malformations such as tumors, syringomyelia, and secondary dilatation of the spinal cord vessels.hense author reported the experienced 6 cases of spinal canal disease with selective spinal arteriography as asuccessful diagnostic method with high accuracy since March, 1976;2 cases of vertebral hemangioma, 2 cases ofmetastatic epidural and spinal carcinoma, 1 case of arteriovenous maformation of spinal cord, and 1 case ofchronic adhesive arachnoiditis. And also, author reviewed literatures of selective spinal arteriography.