دورية أكاديمية

Arterioectatic Spinal Angiopathy of Childhood: Clinical, Imaging, Laboratory, Histologic, and Genetic Description of a Novel CNS Vascular Pathology.

التفاصيل البيبلوغرافية
العنوان: Arterioectatic Spinal Angiopathy of Childhood: Clinical, Imaging, Laboratory, Histologic, and Genetic Description of a Novel CNS Vascular Pathology.
المؤلفون: Abruzzo T; Department of Radiology (T.A., P.C., S.B.) tabruzzo@phoenixchildrens.com.; Department of Child Health (T.A., M.D., P.C., S.B.), College of Medicine, University of Arizona, Phoenix, Arizona., van den Berg R; Department of Radiology and Nuclear Medicine (R.v.d.B., S.D.R.), Amsterdam University Medical Centers, Amsterdam, the Netherlands., Vadivelu S; Department of Neurosurgery (S.V.), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio., Hetts SW; Department of Radiology (S.W.H.), University of California, San Francisco, San Francisco, California., Dishop M; Department of Pathology and Laboratory Medicine (M.D.).; Department of Child Health (T.A., M.D., P.C., S.B.), College of Medicine, University of Arizona, Phoenix, Arizona., Cornejo P; Department of Radiology (T.A., P.C., S.B.).; Department of Child Health (T.A., M.D., P.C., S.B.), College of Medicine, University of Arizona, Phoenix, Arizona., Narayanan V; Translational Genomics Research Institute (V.N., K.E.R.), Phoenix, Arizona., Ramsey KE; Translational Genomics Research Institute (V.N., K.E.R.), Phoenix, Arizona., Coopwood C; College of Medicine (C.C.), University of Arizona, Tucson, Arizona tabruzzo@phoenixchildrens.com., Medici-van den Herik EG; Department of Neurology (E.G.M.-v.d.H.), Erasmus Medical Center, Rotterdam, the Netherlands., Roosendaal SD; Department of Radiology and Nuclear Medicine (R.v.d.B., S.D.R.), Amsterdam University Medical Centers, Amsterdam, the Netherlands., Lawton M, Bernes S; Department of Radiology (T.A., P.C., S.B.).; Department of Neurology (S.B.).; Department of Child Health (T.A., M.D., P.C., S.B.), College of Medicine, University of Arizona, Phoenix, Arizona.
المصدر: AJNR. American journal of neuroradiology [AJNR Am J Neuroradiol] 2022 Jul; Vol. 43 (7), pp. 1060-1067. Date of Electronic Publication: 2022 Jun 30.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: American Society of Neuroradiology Country of Publication: United States NLM ID: 8003708 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1936-959X (Electronic) Linking ISSN: 01956108 NLM ISO Abbreviation: AJNR Am J Neuroradiol Subsets: MEDLINE
أسماء مطبوعة: Publication: Oak Brook, IL : American Society of Neuroradiology
Original Publication: Baltimore, Williams & Wilkins.
مواضيع طبية MeSH: Spinal Cord Diseases*/diagnostic imaging , Spinal Cord Diseases*/genetics , Spinal Cord Diseases*/pathology, Angiography ; Child ; Humans ; Magnetic Resonance Imaging ; Retrospective Studies ; Spinal Cord/pathology
مستخلص: Pediatric patients with myelopathy expressing intradural spinal vascular ectasia without arteriovenous shunting were studied at four tertiary referral neuropediatric centers. Patients were identified by retrospective review of institutional records and excluded if spinal vascular pathology could be classified into a previously described category of spinal vascular malformation. Four patients meeting the study criteria were enrolled in the study. Clinical, magnetic resonance imaging, catheter-directed angiography, laboratory, histological and genetic data were analyzed to characterize the disease process and elucidate underlying pathomechanisms. Our study revealed a highly lethal, progressive multi-segmental myelopathy associated with a unique form of non-inflammatory spinal angiopathy featuring diffuse enlargement and tortuosity of spinal cord arteries, spinal cord hyperemia, and spinal cord edema (Arterioectatic Spinal Angiopathy of Childhood). The condition was shown to mimic venous congestive myelopathy associated with pediatric spinal cord arteriovenous shunts on MRI but to have distinct pathognomonic findings on catheter-directed angiography. Clinicopathological, genetic, and neuroimaging features, which are described in detail, closely overlap with those of mitochondrial disease.
(© 2022 by American Journal of Neuroradiology.)
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معلومات مُعتمدة: R01 EB012031 United States EB NIBIB NIH HHS
تواريخ الأحداث: Date Created: 20220630 Date Completed: 20220711 Latest Revision: 20240624
رمز التحديث: 20240624
مُعرف محوري في PubMed: PMC9262071
DOI: 10.3174/ajnr.A7551
PMID: 35772802
قاعدة البيانات: MEDLINE
الوصف
تدمد:1936-959X
DOI:10.3174/ajnr.A7551