ArticleAJNR. American journal of neuroradiology2017
Analysis of 30 Spinal Angiograms Falsely Reported as Normal in 18 Patients with Subsequently Documented Spinal Vascular Malformations.
Article in AJNR. American journal of neuroradiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evaluating the diagnostic accuracy of magnetic resonance angiography versus digital subtraction angiography for spinal dural arteriovenous fistulas: a systematic review and meta-analysis.Neurosurgical review · 2026Pooled it
- Effects of corticosteroid pretreatment in patients with spinal dural arteriovenous fistula.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Review
- Delayed identification and treatment of a cervicomedullary spinal vascular lesion following angiogram-negative, high-grade subarachnoid hemorrhage: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Deep learning for fast screening and localization of spinal dural arteriovenous fistulas to enhance clinical workflow.NPJ digital medicine · 2026Article
- Normal, accessory, and aberrant branches of the common iliac artery: angiographic prevalence and clinical implications.Surgical and radiologic anatomy : SRA · 2024Article
- Angiographically occult spinal dural arteriovenous fistula diagnosed by exploratory surgery with intraoperative ultrasound: illustrative case.Journal of neurosurgery. Case lessons · 2024Article
- Spontaneous thrombosis of high flow pediatric arteriovenous fistulae: Case series of two patients and a comprehensive literature review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Review
- Application of Spinal Subtraction and Bone Background Fusion CTA in the Accurate Diagnosis and Evaluation of Spinal Vascular Malformations.AJNR. American journal of neuroradiology · 2024Article
- Delayed Diagnosis of Spinal Dural Arteriovenous Fistula: A Case Report and Scoping Review.Journal of clinical medicine · 2024Article
- Imaging characteristics, misdiagnosis and microsurgical outcomes of patients with spinal dural arteriovenous fistula: a retrospective study of 32 patients.Annals of translational medicine · 2022Article
- Arterioectatic Spinal Angiopathy of Childhood: Clinical, Imaging, Laboratory, Histologic, and Genetic Description of a Novel CNS Vascular Pathology.AJNR. American journal of neuroradiology · 2022Article
- Spinal Dural Arteriovenous Fistula: A Mimic of Demyelinating Disease and Radiculopathy.Cureus · 2022Article
- Spinal dural arteriovenous fistula: A rare but treatable disease that should not be missed by orthopedic surgeons.Frontiers in neurology · 2022Article
- Clinical heterogeneity of low flow spinal arteriovenous fistulas; a case series.BMC neurology · 2021Article
- Spinal fistulas documented by contrast enhanced computed tomography during myelopathy workup: a lost opportunity.Neuroradiology · 2021Article
- Spinal vascular lesions: anatomy, imaging techniques and treatment.European journal of radiology open · 2021Review
- Article
- Analysis of spinal angiograms that missed diagnosis of spinal vascular diseases with venous hypertensive myelopathy: the non-technical factors.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020Article
- Cervical spinal dural fistulas leading to remote thoracolumbar myelopathy: A diagnostic pitfall.Neurology. Clinical practice · 2020Review
- Comparative Analysis of Volumetric High-Resolution Heavily T2-Weighted MRI and Time-Resolved Contrast-Enhanced MRA in the Evaluation of Spinal Vascular Malformations.AJNR. American journal of neuroradiology · 2019Observational
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6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeThe early diagnosis of spinal vascular malformations suffers from the nonspecificity of their clinical and radiologic presentations. Spinal angiography requires a methodical approach to offer a high diagnostic yield. The prospect of false-negative studies is particularly distressing when addressing conditions with a narrow therapeutic window. The purpose of this study was to identify factors leading to missed findings or inadequate studies in patients with spinal vascular malformations. MATERIALS AND
methodsThe clinical records, laboratory findings, and imaging features of 18 patients with spinal arteriovenous fistulas and at least 1 prior angiogram read as normal were reviewed. The clinical status was evaluated before and after treatment by using the Aminoff-Logue Disability Scale.
resultsEighteen patients with 19 lesions underwent a total of 30 negative spinal angiograms. The lesions included 9 epidural arteriovenous fistulas, 8 dural arteriovenous fistulas, and 2 perimedullary arteriovenous fistulas. Seventeen patients underwent endovascular (11) or surgical (6) treatment, with a delay ranging between 1 week and 32 months; the Aminoff-Logue score improved in 13 (76.5%). The following factors were identified as the causes of the inadequate results: 1) lesion angiographically documented but not identified (55.6%); 2) region of interest not documented (29.6%); or 3) level investigated but injection technically inadequate (14.8%).
conclusionsAll the angiograms falsely reported as normal were caused by correctible, operator-dependent factors. The nonrecognition of documented lesions was the most common cause of error. The potential for false-negative studies should be reduced by the adoption of rigorous technical and training standards and by second opinion reviews.
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