ABSTRACT

In 1960s and 1970s, interventional neuroradiological techniques for the treatment of spinal vascular lesions were developed when understanding of these lesions deepened because of the advances in selective spinal angiography techniques and increased knowledge. Two groups of authors contributed the initial and greater part of the development of selective spinal angiography. Djindjian et al. reported their first 50 cases of transarterial embolization in 1973 (1). Di Chiro and Doppman described their own techniques and experiences in spinal angiography. Aminoff and Logue contributed to an early understanding of the pathophysiology of spinal vascular malformations (2) and established the clinical grading system (3). Later, Kendall and Logue recognized the dural arteriovenous fistula (dAVF) as a different entity from arteriovenous shunts involving the spinal cord (4). These are uncommon and complex pathologies, and the terminology has changed over the years. We will define the terminology of lesions and describe clinical manifestation, imaging findings, and management of each lesion; all are best treated by multidisciplinary approach.