The great radicular artery of Adamkiewicz in man. Demonstration of a possibility to predict its functional territory

A women in her early sixties suffered from a malignant intramedullary astrocytoma. It had caused a nearly complete neurological deficit extending from the 12th thoracic segment downward. Since progressive tumour growth caused excruciating pain it was decided to remove the tumorous non-functional par...

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Bibliographic Details
Published in:Acta neurochirurgica 1988-01, Vol.95 (3-4), p.143-146
Main Authors: LUYENDIJK, W, COHN, B, REJGER, V, VIELVOYE, G. J
Format: Article
Language:English
Subjects:
Astrocytoma - blood supply
Astrocytoma - complications
Astrocytoma - surgery
Biological and medical sciences
Female
Humans
Medical sciences
Middle Aged
Neurology
Spinal Cord - blood supply
Spinal Cord - surgery
Spinal Cord Neoplasms - blood supply
Spinal Cord Neoplasms - complications
Spinal Cord Neoplasms - surgery
Tumors of the nervous system. Phacomatoses
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Summary:A women in her early sixties suffered from a malignant intramedullary astrocytoma. It had caused a nearly complete neurological deficit extending from the 12th thoracic segment downward. Since progressive tumour growth caused excruciating pain it was decided to remove the tumorous non-functional part of the spinal cord. As the great radicular artery was located in the region of the tumour it was feared that it might have to be sacrificed during surgery. In order to be informed as to its vascularization and the clinical consequence of interrupting it, an anaesthetic agent (Etomidate) was injected through this vessel. This resulted in a temporary increase in the neurological deficit by two dermatomes. Fortunately during surgery the Adamkiewicz artery was preserved. This intervention completely abolished the patient's complaints.
ISSN:0001-6268
0942-0940
DOI:10.1007/BF01790776