Jadhav Ashutosh P
Continuum (Minneap Minn). 2024 Feb 1;30(1):160-179. doi: 10.1212/CON.0000000000001378.
Vascular injuries of the spinal cord are less common than those involving the brain; however, they can be equally devastating. This article discusses the diagnosis and management of ischemic and hemorrhagic vascular disorders of the spinal cord.
Clinical suspicion remains the mainstay for recognizing vascular myelopathies, yet diagnoses are often delayed and challenging in part because of their rarity and atypical manifestations. Noninvasive imaging such as CT and MRI continues to improve in spatial resolution and diagnostic precision; however, catheter-based spinal angiography remains the gold standard for defining the spinal angioarchitecture. In addition to hemorrhagic and ischemic disease, the contribution of venous dysfunction is increasingly appreciated and informs treatment strategies in conditions such as intracranial hypotension.
Vascular disorders of the spine manifest in variable and often atypical ways, which may lead to delayed diagnosis. Increased awareness of these conditions is critical for early recognition and treatment. The goal of treatment is to minimize long-term morbidity and mortality.
脊髓血管损伤比脑损伤少见；然而，它们同样具有毁灭性。本文讨论脊髓缺血性和出血性血管疾病的诊断与治疗。
临床怀疑仍是识别血管性脊髓病的主要依据，但诊断往往延迟且具有挑战性，部分原因是其罕见性和非典型表现。CT和MRI等无创成像在空间分辨率和诊断精度方面不断提高；然而，基于导管的脊髓血管造影仍然是定义脊髓血管结构的金标准。除出血性和缺血性疾病外，静脉功能障碍的作用越来越受到重视，并为诸如颅内低压等疾病的治疗策略提供依据。
脊柱血管疾病表现多样且常常不典型，这可能导致诊断延迟。提高对这些疾病的认识对于早期识别和治疗至关重要。治疗的目标是将长期发病率和死亡率降至最低。
