Angiographically proven cervical venous engorgement: a possible concurrent cause in the pathophysiology of Hirayama's myelopathy.
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| Title: | Angiographically proven cervical venous engorgement: a possible concurrent cause in the pathophysiology of Hirayama's myelopathy. |
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| Authors: | Ciceri EF (AUTHOR), Chiapparini L (AUTHOR), Erbetta A (AUTHOR), Longhi L (AUTHOR), Cicardi B (AUTHOR), Milani N (AUTHOR), Solero CL (AUTHOR), Savoiardo M (AUTHOR), Ciceri, Elisa F (AUTHOR), Chiapparini, Luisa (AUTHOR), Erbetta, Alessandra (AUTHOR), Longhi, Laura (AUTHOR), Cicardi, Benedetta (AUTHOR), Milani, Nicoletta (AUTHOR), Solero, Carlo Lazzaro (AUTHOR), Savoiardo, Mario (AUTHOR) |
| Source: | Neurological Sciences. Dec2010, Vol. 31 Issue 6, p845-848. 4p. |
| Abstract: | The objective of this study is to discuss the possible role of cervical posterior epidural plexus engorgement during cervical flexion in the pathogenesis of Hirayama myelopathy. In Hirayama disease, MRI during neck flexion often shows that the posterior dura detaches from the posterior arches compressing the spinal cord. Autopsies demonstrated asymmetric changes in the anterior horns consistent with chronic ischemic damage, attributed to arterial insufficiency during flexion or to microcirculatory changes due to compression by the tight dura. In a 15-year-old patient with 5-year history of distal upper limbs weakness, MRI demonstrated marked venous engorgement of the posterior epidural plexus in cervical flexion, confirmed by angiography. Laminectomy from C3 to C6 with duraplasty was performed. At one-year follow-up, the clinical condition of the patient remained stable. In Hirayama myelopathy, compression of the spinal cord by the tight dura is probably the most important pathogenetic factor. However, venous congestion in flexion might play an additional role in determining spinal cord ischemic changes. [ABSTRACT FROM AUTHOR] |
| Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 104940752 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Angiographically proven cervical venous engorgement: a possible concurrent cause in the pathophysiology of Hirayama's myelopathy. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Ciceri+EF%22">Ciceri EF</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chiapparini+L%22">Chiapparini L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Erbetta+A%22">Erbetta A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Longhi+L%22">Longhi L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cicardi+B%22">Cicardi B</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Milani+N%22">Milani N</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Solero+CL%22">Solero CL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Savoiardo+M%22">Savoiardo M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ciceri%2C+Elisa+F%22">Ciceri, Elisa F</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chiapparini%2C+Luisa%22">Chiapparini, Luisa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Erbetta%2C+Alessandra%22">Erbetta, Alessandra</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Longhi%2C+Laura%22">Longhi, Laura</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cicardi%2C+Benedetta%22">Cicardi, Benedetta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Milani%2C+Nicoletta%22">Milani, Nicoletta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Solero%2C+Carlo+Lazzaro%22">Solero, Carlo Lazzaro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Savoiardo%2C+Mario%22">Savoiardo, Mario</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Dec2010, Vol. 31 Issue 6, p845-848. 4p. – Name: Abstract Label: Abstract Group: Ab Data: The objective of this study is to discuss the possible role of cervical posterior epidural plexus engorgement during cervical flexion in the pathogenesis of Hirayama myelopathy. In Hirayama disease, MRI during neck flexion often shows that the posterior dura detaches from the posterior arches compressing the spinal cord. Autopsies demonstrated asymmetric changes in the anterior horns consistent with chronic ischemic damage, attributed to arterial insufficiency during flexion or to microcirculatory changes due to compression by the tight dura. In a 15-year-old patient with 5-year history of distal upper limbs weakness, MRI demonstrated marked venous engorgement of the posterior epidural plexus in cervical flexion, confirmed by angiography. Laminectomy from C3 to C6 with duraplasty was performed. At one-year follow-up, the clinical condition of the patient remained stable. In Hirayama myelopathy, compression of the spinal cord by the tight dura is probably the most important pathogenetic factor. However, venous congestion in flexion might play an additional role in determining spinal cord ischemic changes. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10072-010-0405-3 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 4 StartPage: 845 Titles: – TitleFull: Angiographically proven cervical venous engorgement: a possible concurrent cause in the pathophysiology of Hirayama's myelopathy. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Ciceri EF – PersonEntity: Name: NameFull: Chiapparini L – PersonEntity: Name: NameFull: Erbetta A – PersonEntity: Name: NameFull: Longhi L – PersonEntity: Name: NameFull: Cicardi B – PersonEntity: Name: NameFull: Milani N – PersonEntity: Name: NameFull: Solero CL – PersonEntity: Name: NameFull: Savoiardo M – PersonEntity: Name: NameFull: Ciceri, Elisa F – PersonEntity: Name: NameFull: Chiapparini, Luisa – PersonEntity: Name: NameFull: Erbetta, Alessandra – PersonEntity: Name: NameFull: Longhi, Laura – PersonEntity: Name: NameFull: Cicardi, Benedetta – PersonEntity: Name: NameFull: Milani, Nicoletta – PersonEntity: Name: NameFull: Solero, Carlo Lazzaro – PersonEntity: Name: NameFull: Savoiardo, Mario IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2010 Type: published Y: 2010 Identifiers: – Type: issn-print Value: 15901874 Numbering: – Type: volume Value: 31 – Type: issue Value: 6 Titles: – TitleFull: Neurological Sciences Type: main |
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