Analysis of etiology and countermeasures to avoid misdiagnosis of spinal venous hypertensive myelopathy
ZHU Yuan
YANG Ming
PAN Li
MA Lian-ting
Abstract：Objective To explore the etiology and the countermeasures to avoid misdiagnosis of spinal venous hypertensive myelopathy. Methods The clinical data of 94 patients with spinal venous hypertensive myelopathy, including neurological symptoms and signs, imaging data and surgical records, were retrospectively analyzed. The etiology was divided into six categories according to the characteristics of the blood supply artery and drainage vein. The difinite diagnoses were made for nearly one-third of the patients who were misdiagnosed in the external hospital by unconventional angiography methods, and all these patients were treated correspondingly. Results Of 94 patients with spinal venous hypertensive myelopathy, 80 patients were caused by spinal cord blood supply artery lesions, 8 by drainage from non-spinal artery to spinal cord vein including 2 internal carotid artery blood supply, 3 external carotid artery blood supply and 3 internal iliac artery blood supply, 6 by drainage to the spinal vein resulting from paravertebral vein stenosis. Sixty-seven patients were treated with endovascular treatment, and 27 with open surgery. Thirty patients were cured, 47 improved, and 17 unchanged. Conclusions Spinal venous hypertensive myelopathy, which is often misdiagnosed and missed, is a disease causing by many types of cerebrospinal vascular disease. For nearly 1/3 misdiagnosing patients, we use some unique angiography methods to solve misdiagnosis and missed diagnosis.
Keywords：Spinal venous hypertensive myelopathyEndovascular treatmentSurgical proceduresOutcome
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：9( 1-9 )