Spinal Vascular Neurosurgery Discussion Questions

Spinal Vascular Neurosurgery Discussion Questions
Spinal Vascular Neurosurgery Discussion Questions
1. The artery of Adamkiewicz is best described as
which one of the following?
a. Centripetal artery
b. Radiculomedullary artery
c. Radiculopial artery
d. Segmental artery
e. Sulcocommissural artery (centrifugal)
2. Which one of the following best describes
Foix-Alajouanine syndrome?
a. Involves descending sensory loss
b. Involves hemorrhage from multiple spinal
c. Involves normal cerebrospinal fluid protein
d. Involves progressive paraparesis due to
congestive myelopathy
e. Involves spinal venous thrombosis on pathological examination
3. In the literature, Type II spinal Arteriovenous
malformations (AVMs) generally refer to
which one of the following?
a. Conus medullaris AVM
b. Dural arteriovenous fistula (AVF)
c. Intradural perimedullary AVF
d. Intramedullary glomus AVM
e. Juvenile or mixed AVM
4. A 55-year-old male presents with progressive
gait disturbance and impotence. Coronal
Magnetic resonance angiogram and angiograms are shown in the lumbar spine. There
is no evidence of hemorrhage. VHL screen
is negative. Which one of the following diagnoses is most likely?
a. Aneurysm of artery of Adamkiewicz
b. Cavernoma
c. Hemangioblastoma
d. Type I Dural AVF
e. Type II intramedullary glomus AVM
5. A 15-year-old boy presents with neck pain and
bilateral upper limb weakness. MRI is shown
below.Which one of the following is most likely?
a. Astrocytoma
b. Ependymoma
c. Transverse myelitis
d. Type I Dural (dorsal intradural) AVF
e. Type III juvenile (extradural-intradural)
6. A 35-year-old with Osler-Weber-Rendu syndrome presents with gait disturbance. T2W
MRI is shown below. Which one of the following is most likely?\
a. Hemangioblastoma
b. Neurenteric cyst
c. Spinal artery aneurysm
d. Type III juvenile (extradural-intradural)
e. Type IV-C perimedullary (ventral intradural) AVF
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