Fístulas arteriovenosas espinales del adulto. Manejo de una serie de casos desde una planta de Neurología
Las fístulas arteriovenosas espinales (FAVE) son excepcionales y representan el 3% de las lesiones espinales. Asocian gran morbilidad sin tratamiento precoz, pero el diagnóstico constituye un reto. Nuestro objetivo es evaluar sus características clínicas y revisar la evolución tras el tratamiento. ¿...
Uložené v:
| Vydané v: | Neurología (Barcelona, Spain) Ročník 33; číslo 7; s. 438 - 448 |
|---|---|
| Hlavní autori: | , , , |
| Médium: | Journal Article |
| Jazyk: | Spanish |
| Vydavateľské údaje: |
Elsevier España, S.L.U
01.09.2018
Elsevier España |
| Predmet: | |
| ISSN: | 0213-4853 |
| On-line prístup: | Získať plný text |
| Tagy: |
Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
|
| Abstract | Las fístulas arteriovenosas espinales (FAVE) son excepcionales y representan el 3% de las lesiones espinales. Asocian gran morbilidad sin tratamiento precoz, pero el diagnóstico constituye un reto. Nuestro objetivo es evaluar sus características clínicas y revisar la evolución tras el tratamiento. ¿Puede ser tarde para tratar?
Presentamos una serie retrospectiva de 10 casos diagnosticados y tratados en 3 años en un hospital terciario.
Se observó un predominio masculino (80%). La edad media fue de 65,4 años. El síntoma inicial predominante fue la claudicación de la marcha/paraparesia (70%). En la mayoría de los pacientes la clínica fue lentamente progresiva. Al diagnóstico, lo habitual fue la combinación de síntomas motores, sensitivos y esfinterianos. El tiempo medio desde el inicio de los síntomas hasta el diagnóstico fue de 24,3 meses. El 60% tenía un diagnóstico inicial erróneo. La RM espinal fue diagnóstica en el 90% de los casos; la arteriografía, en el 100%. La localización más frecuente fue dorsal baja y el tipo anatómico predominante fue FAVE dural (7 pacientes). Todas fueron tratadas con embolización, cirugía o con ambas y el 70% mejoró tras su cierre, independientemente del tiempo de evolución.
El diagnóstico de las FAVE es difícil y generalmente tardío, lo que empeora el pronóstico de los pacientes. Se debe tener un alto nivel de sospecha ante síntomas de mielopatía o claudicación de la marcha exacerbadas con el ejercicio e intentar tratamiento precoz. Consideramos que el tratamiento siempre está indicado, independientemente del tiempo de evolución, al mejorar la calidad de vida o conseguir la estabilización.
Spinal arteriovenous fístulas (SAVF), a rare type of vascular malformation, account for 3% of all spinal cord lesions. Without early treatment, the associated morbidity is high; furthermore, SAVF pose a major diagnostic challenge. Our purpose was to evaluate the clinical characteristics of SAVF and review their progress after treatment to determine whether it may be too late for treatment in some cases.
We present a retrospective series of 10 patients diagnosed with SAVF and treated at a tertiary hospital during a 3-year period.
In our sample, SAVF were found to be significantly more frequent in men (80%). Mean age in our sample was 65.4 years. The most common initial symptom was intermittent claudication/paraparesis (70%). In most patients, symptoms appeared slowly and progressively. At the time of diagnosis, the most common symptoms were motor, sensory, and sphincter disorders. Mean time from symptom onset to diagnosis was 24.3 months. Initial diagnosis was erroneous in 60% of the patients. Spinal MRI was diagnostic in 90% of these cases and arteriography in 100%. The most common location of the fistula was the lower thoracic region and the most frequent type was dural (7 cases). All patients were treated with embolisation, surgery, or both and 70% improved after fistula closure regardless of progression time.
Diagnosis of SAVF is difficult and often delayed, which leads to poorer patient prognosis. We should have a high level of suspicion for SAVF in patients with intermittent claudication or paraparesis exacerbated by exercise. Early treatment should be started in these patients. Treatment should always aim to improve quality of life or stabilise symptoms, regardless of progression time. |
|---|---|
| AbstractList | Resumen: Objetivo: Las fístulas arteriovenosas espinales (FAVE) son excepcionales y representan el 3% de las lesiones espinales. Asocian gran morbilidad sin tratamiento precoz, pero el diagnóstico constituye un reto. Nuestro objetivo es evaluar sus características clínicas y revisar la evolución tras el tratamiento. ¿Puede ser tarde para tratar? Métodos: Presentamos una serie retrospectiva de 10 casos diagnosticados y tratados en 3 años en un hospital terciario. Resultados: Se observó un predominio masculino (80%). La edad media fue de 65,4 años. El síntoma inicial predominante fue la claudicación de la marcha/paraparesia (70%). En la mayoría de los pacientes la clínica fue lentamente progresiva. Al diagnóstico, lo habitual fue la combinación de síntomas motores, sensitivos y esfinterianos. El tiempo medio desde el inicio de los síntomas hasta el diagnóstico fue de 24,3 meses. El 60% tenía un diagnóstico inicial erróneo. La RM espinal fue diagnóstica en el 90% de los casos; la arteriografía, en el 100%. La localización más frecuente fue dorsal baja y el tipo anatómico predominante fue FAVE dural (7 pacientes). Todas fueron tratadas con embolización, cirugía o con ambas y el 70% mejoró tras su cierre, independientemente del tiempo de evolución. Conclusiones: El diagnóstico de las FAVE es difícil y generalmente tardío, lo que empeora el pronóstico de los pacientes. Se debe tener un alto nivel de sospecha ante síntomas de mielopatía o claudicación de la marcha exacerbadas con el ejercicio e intentar tratamiento precoz. Consideramos que el tratamiento siempre está indicado, independientemente del tiempo de evolución, al mejorar la calidad de vida o conseguir la estabilización. Abstract: Objective: Spinal arteriovenous fístulas (SAVF), a rare type of vascular malformation, account for 3% of all spinal cord lesions. Without early treatment, the associated morbidity is high; furthermore, SAVF pose a major diagnostic challenge. Our purpose was to evaluate the clinical characteristics of SAVF and review their progress after treatment to determine whether it may be too late for treatment in some cases. Methods: We present a retrospective series of 10 patients diagnosed with SAVF and treated at a tertiary hospital during a 3-year period. Results: In our sample, SAVF were found to be significantly more frequent in men (80%). Mean age in our sample was 65.4 years. The most common initial symptom was intermittent claudication/paraparesis (70%). In most patients, symptoms appeared slowly and progressively. At the time of diagnosis, the most common symptoms were motor, sensory, and sphincter disorders. Mean time from symptom onset to diagnosis was 24.3 months. Initial diagnosis was erroneous in 60% of the patients. Spinal MRI was diagnostic in 90% of these cases and arteriography in 100%. The most common location of the fistula was the lower thoracic region and the most frequent type was dural (7 cases). All patients were treated with embolisation, surgery, or both and 70% improved after fistula closure regardless of progression time. Conclusions: Diagnosis of SAVF is difficult and often delayed, which leads to poorer patient prognosis. We should have a high level of suspicion for SAVF in patients with intermittent claudication or paraparesis exacerbated by exercise. Early treatment should be started in these patients. Treatment should always aim to improve quality of life or stabilise symptoms, regardless of progression time. Palabras clave: Fístula arteriovenosa espinal, Fístula arteriovenosa dural espinal, Malformación vascular espinal, Enfermedad vascular espinal, Mielopatía, Arteriografía espinal, Keywords: Spinal arteriovenous fistula, Spinal dural arteriovenous fistula, Spinal vascular malformation, Spinal vascular disorder, Myelopathy, Spinal angiography Las fístulas arteriovenosas espinales (FAVE) son excepcionales y representan el 3% de las lesiones espinales. Asocian gran morbilidad sin tratamiento precoz, pero el diagnóstico constituye un reto. Nuestro objetivo es evaluar sus características clínicas y revisar la evolución tras el tratamiento. ¿Puede ser tarde para tratar? Presentamos una serie retrospectiva de 10 casos diagnosticados y tratados en 3 años en un hospital terciario. Se observó un predominio masculino (80%). La edad media fue de 65,4 años. El síntoma inicial predominante fue la claudicación de la marcha/paraparesia (70%). En la mayoría de los pacientes la clínica fue lentamente progresiva. Al diagnóstico, lo habitual fue la combinación de síntomas motores, sensitivos y esfinterianos. El tiempo medio desde el inicio de los síntomas hasta el diagnóstico fue de 24,3 meses. El 60% tenía un diagnóstico inicial erróneo. La RM espinal fue diagnóstica en el 90% de los casos; la arteriografía, en el 100%. La localización más frecuente fue dorsal baja y el tipo anatómico predominante fue FAVE dural (7 pacientes). Todas fueron tratadas con embolización, cirugía o con ambas y el 70% mejoró tras su cierre, independientemente del tiempo de evolución. El diagnóstico de las FAVE es difícil y generalmente tardío, lo que empeora el pronóstico de los pacientes. Se debe tener un alto nivel de sospecha ante síntomas de mielopatía o claudicación de la marcha exacerbadas con el ejercicio e intentar tratamiento precoz. Consideramos que el tratamiento siempre está indicado, independientemente del tiempo de evolución, al mejorar la calidad de vida o conseguir la estabilización. Spinal arteriovenous fístulas (SAVF), a rare type of vascular malformation, account for 3% of all spinal cord lesions. Without early treatment, the associated morbidity is high; furthermore, SAVF pose a major diagnostic challenge. Our purpose was to evaluate the clinical characteristics of SAVF and review their progress after treatment to determine whether it may be too late for treatment in some cases. We present a retrospective series of 10 patients diagnosed with SAVF and treated at a tertiary hospital during a 3-year period. In our sample, SAVF were found to be significantly more frequent in men (80%). Mean age in our sample was 65.4 years. The most common initial symptom was intermittent claudication/paraparesis (70%). In most patients, symptoms appeared slowly and progressively. At the time of diagnosis, the most common symptoms were motor, sensory, and sphincter disorders. Mean time from symptom onset to diagnosis was 24.3 months. Initial diagnosis was erroneous in 60% of the patients. Spinal MRI was diagnostic in 90% of these cases and arteriography in 100%. The most common location of the fistula was the lower thoracic region and the most frequent type was dural (7 cases). All patients were treated with embolisation, surgery, or both and 70% improved after fistula closure regardless of progression time. Diagnosis of SAVF is difficult and often delayed, which leads to poorer patient prognosis. We should have a high level of suspicion for SAVF in patients with intermittent claudication or paraparesis exacerbated by exercise. Early treatment should be started in these patients. Treatment should always aim to improve quality of life or stabilise symptoms, regardless of progression time. Resumen Objetivo Las fístulas arteriovenosas espinales (FAVE) son excepcionales y representan el 3% de las lesiones espinales. Asocian gran morbilidad sin tratamiento precoz, pero el diagnóstico constituye un reto. Nuestro objetivo es evaluar sus características clínicas y revisar la evolución tras el tratamiento. ¿Puede ser tarde para tratar? Métodos Presentamos una serie retrospectiva de 10 casos diagnosticados y tratados en 3 años en un hospital terciario. Resultados Se observó un predominio masculino (80%). La edad media fue de 65,4 años. El síntoma inicial predominante fue la claudicación de la marcha/paraparesia (70%). En la mayoría de los pacientes la clínica fue lentamente progresiva. Al diagnóstico, lo habitual fue la combinación de síntomas motores, sensitivos y esfinterianos. El tiempo medio desde el inicio de los síntomas hasta el diagnóstico fue de 24,3 meses. El 60% tenía un diagnóstico inicial erróneo. La RM espinal fue diagnóstica en el 90% de los casos; la arteriografía, en el 100%. La localización más frecuente fue dorsal baja y el tipo anatómico predominante fue FAVE dural (7 pacientes). Todas fueron tratadas con embolización, cirugía o con ambas y el 70% mejoró tras su cierre, independientemente del tiempo de evolución. Conclusiones El diagnóstico de las FAVE es difícil y generalmente tardío, lo que empeora el pronóstico de los pacientes. Se debe tener un alto nivel de sospecha ante síntomas de mielopatía o claudicación de la marcha exacerbadas con el ejercicio e intentar tratamiento precoz. Consideramos que el tratamiento siempre está indicado, independientemente del tiempo de evolución, al mejorar la calidad de vida o conseguir la estabilización. |
| Author | Moreu Gamazo, M. Rodríguez-Boto, G. Porta Etessam, J. Ortega-Suero, G. |
| Author_xml | – sequence: 1 givenname: G. surname: Ortega-Suero fullname: Ortega-Suero, G. email: gloria271187@hotmail.com organization: Servicio de Neurología, Hospital Clínico San Carlos, Madrid, España – sequence: 2 givenname: J. surname: Porta Etessam fullname: Porta Etessam, J. organization: Servicio de Neurología, Hospital Clínico San Carlos, Madrid, España – sequence: 3 givenname: M. surname: Moreu Gamazo fullname: Moreu Gamazo, M. organization: Unidad de Neurorradiología Intervencionista, Servicio de Radiología, Hospital Clínico San Carlos, Madrid, España – sequence: 4 givenname: G. surname: Rodríguez-Boto fullname: Rodríguez-Boto, G. organization: Servicio de Neurocirugía, Hospital Clínico San Carlos, Madrid, España |
| BookMark | eNqFUUtu1TAU9aBItIUFMMsGXvC1E79YSEioolCpwAAYWzfOdeXU2E92UqmL6iq6MRxexQAJGN3vOfY954ydxBSJsVfAW-CgXs9tzKEVNW1BtJzDCTvlAuSuG3r5nJ2VMnMuet2pU3Z7-fhQljVgaTAvlH26o5hKLakcfMRApZkoNDitYUlt8wkjzam2mjViUyqAtsJiSdtieRocAsYFt8lnWnMK6ebxAV-wZw5DoZdP8Zx9v3z_7eLj7vrLh6uLd9c7K1QPO8u15Br0yDsSSk1IJDVaIBq0QDf2xEHS1O2VdlI5AATBBwF1Q49SjfKcXR15p4SzOWT_A_O9SejNr0bKN6be6m0gA1b3XLhhog46B06P494NndxPltRgbeWCI5fNqZRM7jcfcLOpbWZT1Tab2gaEqWpXzJsjhuqRd56yKdZTtDT5THapv_D_RL_9A22Dj95iuKV7KnNac7WlGDClAszXzdnNWNhLXm1VlUD_neA_j_8Eg5G1zg |
| Cites_doi | 10.3109/02688697.2015.1012049 10.3174/ajnr.A1485 10.1097/BRS.0b013e31821352dd 10.3349/ymj.2015.56.2.397 10.1016/j.spinee.2013.08.029 10.1007/s10143-009-0204-6 10.4103/2152-7806.125628 10.1227/01.NEU.0000126878.95006.0F 10.1227/01.NEU.0000068701.25600.A1 10.1016/j.nic.2013.03.017 10.1212/WNL.45.7.1309 10.3171/2012.2.FOCUS1218 10.1097/BRS.0b013e31828a38c4 10.1016/j.clineuro.2014.11.011 10.2176/nmc.53.103 10.1212/WNL.0b013e3182582f07 10.3174/ajnr.A4504 10.1227/01.NEU.0000147974.79671.83 10.3171/2014.7.SPINE13797 10.1227/NEU.0b013e3181ef2821 10.3171/2012.2.SPINE11500 10.3171/2009.4.SPINE08118 10.1016/j.clineuro.2014.07.028 10.1007/s00062-010-9036-6 10.1227/01.NEU.0000311073.71733.C4 10.1007/BF00314453 10.1097/00006123-199909000-00006 10.1177/159101990901500310 10.1016/j.jocn.2015.05.014 10.1093/brain/97.1.211 10.3171/jns.1989.70.3.0360 10.1016/j.clineuro.2015.08.033 |
| ContentType | Journal Article |
| Copyright | 2017 The Authors The Authors |
| Copyright_xml | – notice: 2017 The Authors – notice: The Authors |
| DBID | 6I. AAFTH AAYXX CITATION DOA |
| DOI | 10.1016/j.nrl.2016.12.001 |
| DatabaseName | ScienceDirect Open Access Titles Elsevier:ScienceDirect:Open Access CrossRef DOAJ Directory of Open Access Journals |
| DatabaseTitle | CrossRef |
| DatabaseTitleList | |
| Database_xml | – sequence: 1 dbid: DOA name: Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| DocumentTitleAlternate | Spinal arteriovenous fistulas in adults: Management of a series of patients treated at a neurology department |
| EndPage | 448 |
| ExternalDocumentID | oai_doaj_org_article_1c9502f8de414f1f9bb7f8437dce68cc 10_1016_j_nrl_2016_12_001 S0213485317300026 1_s2_0_S0213485317300026 |
| GroupedDBID | 0R~ 123 2WC 36B 4.4 457 65R AAEDW AALRI AAXUO AAYWO ABJNI ABMAC ACGFS ACVFH ADCNI ADCUG ADVLN AENEX AEUPX AEVXI AFPUW AFTJW AIGII AITUG AKBMS AKRWK AKYEP ALMA_UNASSIGNED_HOLDINGS AMRAJ DIK EBS EJD FDB FIRID GROUPED_DOAJ HZ~ J1W N9A O9- OK1 ROL SES SSZ Z7D 0SF AACTN AAHOK NCXOZ 6I. AAFTH AAYXX CITATION |
| ID | FETCH-LOGICAL-c2651-c0930919b04e266daee39ac1ee892afb5e013ed4769f36f11a120821c1e9b36b3 |
| IEDL.DBID | DOA |
| ISSN | 0213-4853 |
| IngestDate | Fri Oct 03 12:44:59 EDT 2025 Sat Nov 29 02:19:13 EST 2025 Thu Jul 20 20:03:10 EDT 2023 Sun Feb 23 10:19:29 EST 2025 Tue Aug 26 16:33:41 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 7 |
| Keywords | Myelopathy Spinal arteriovenous fistula Spinal vascular disorder Malformación vascular espinal Arteriografía espinal Fístula arteriovenosa espinal Spinal dural arteriovenous fistula Mielopatía Fístula arteriovenosa dural espinal Spinal vascular malformation Spinal angiography Enfermedad vascular espinal |
| Language | Spanish |
| License | This is an open access article under the CC BY-NC-ND license. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c2651-c0930919b04e266daee39ac1ee892afb5e013ed4769f36f11a120821c1e9b36b3 |
| OpenAccessLink | https://doaj.org/article/1c9502f8de414f1f9bb7f8437dce68cc |
| PageCount | 11 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_1c9502f8de414f1f9bb7f8437dce68cc crossref_primary_10_1016_j_nrl_2016_12_001 elsevier_sciencedirect_doi_10_1016_j_nrl_2016_12_001 elsevier_clinicalkeyesjournals_1_s2_0_S0213485317300026 elsevier_clinicalkey_doi_10_1016_j_nrl_2016_12_001 |
| PublicationCentury | 2000 |
| PublicationDate | September 2018 |
| PublicationDateYYYYMMDD | 2018-09-01 |
| PublicationDate_xml | – month: 09 year: 2018 text: September 2018 |
| PublicationDecade | 2010 |
| PublicationTitle | Neurología (Barcelona, Spain) |
| PublicationYear | 2018 |
| Publisher | Elsevier España, S.L.U Elsevier España |
| Publisher_xml | – name: Elsevier España, S.L.U – name: Elsevier España |
| References | Muralidharan, Saladino, Lanzino, Atkinson, Rabinstein (bib0260) 2011; 36 Krings, Thron, Geibprasert, Agid, Hans, Lasjaunias (bib0345) 2010; 33 Meder, Devaux, Merland, Frédy (bib0290) 1995; 16 Yen, Ritchie, Shankar (bib0310) 2014; 21 Chaudhary, Pandey, Gemmete (bib0205) 2013; 23 Signorelli, Della Pepa, Sabatino, Marchese, Maira, Puca (bib0335) 2015; 128 Cenzato, Debernardi, Stefini, D’Aliberti, Piparo, Talamonti (bib0255) 2012; 32 Iovtchev, Hiller, Ofran, Schwartz, Cohen, Rubin (bib0250) 2015; 15 Donghai, Ning, Peng, Shuo, Xueen, Peng (bib0275) 2013; 38 Narvid, Hetts, Larsen, Neuhaus, Singh, McSwain (bib0245) 2008; 62 Koenig, Thron, Schrader, Dichgans (bib0230) 1989; 236 Saladino, Atkinson, Rabinstein, Piepgras, Marsh, Krauss (bib0270) 2010; 67 Shin, Park, Ji, Ji, Ha y, Park (bib0305) 2015; 56 Brinjikji, Nasr, Morris, Rabinstein, Lanzino (bib0240) 2016; 37 Wang, Molenda, Bydon, Colby, Coon, Tamargo (bib0365) 2015; 22 Nasr, Brinjikji, Rabinstein, Lanzino (bib0370) 2016 Hassler, Thron, Grote (bib0215) 1989; 70 Cho, Lee, Chung, Han, Kim (bib0295) 2005; 56 Sri, Higgins, Laing (bib0330) 2015; 29 Krings (bib0200) 2010; 20 Hurst, Kenyon, Lavi, Raps, Marcotte (bib0225) 1995; 45 Westphal, Koch (bib0350) 1999; 45 Rodesch, Hurth, Alvarez, David, Tadie, Lasjaunias (bib0340) 2003; 53 Kim, Spetzler (bib0210) 2006; 59 Toosi, Josephson, Hetts, Chin, Kralik, Jun (bib0280) 2012 Gokhale, Khan, McDonagh, Britz (bib0325) 2014; 5 Aminoff, Logue (bib0315) 1974; 97 Geibprasert, Pongpech, Jiarakongmun, Krings (bib0235) 2009; 11 Lee, Pyun, Chae, Kim, Rhim, Suh (bib0375) 2009; 15 Krings, Geibprasert (bib0195) 2009; 30 Wang, Chen, Shen, Fang, Ying, Ren (bib0355) 2016 Song, Vinuela, Gobin, Duckwiler, Murayama, Kureshi (bib0380) 2001; 94 Steinmetz, Chow, Krishnaney, Andrews-Hinders, Benzel, Masaryk (bib0320) 2004; 55 Gilbertson, Miller, Goldman, Marsh (bib0300) 1995; 16 Sasamori, Hida, Asano, Osanai, Yano, Aoyama (bib0285) 2013; 53 Avecillas-Chasín, Brin, López-Ibor, Gómez, Rodríguez-Boto (bib0360) 2015; 139 Rashad, Abdel-Bary, Aziz, Hassan (bib0265) 2014; 125 Sato, Terbrugge, Krings (bib0220) 2012; 16 Krings (10.1016/j.nrl.2016.12.001_bib0200) 2010; 20 Westphal (10.1016/j.nrl.2016.12.001_bib0350) 1999; 45 Sasamori (10.1016/j.nrl.2016.12.001_bib0285) 2013; 53 Nasr (10.1016/j.nrl.2016.12.001_bib0370) 2016 Hurst (10.1016/j.nrl.2016.12.001_bib0225) 1995; 45 Gokhale (10.1016/j.nrl.2016.12.001_bib0325) 2014; 5 Iovtchev (10.1016/j.nrl.2016.12.001_bib0250) 2015; 15 Shin (10.1016/j.nrl.2016.12.001_bib0305) 2015; 56 Hassler (10.1016/j.nrl.2016.12.001_bib0215) 1989; 70 Saladino (10.1016/j.nrl.2016.12.001_bib0270) 2010; 67 Geibprasert (10.1016/j.nrl.2016.12.001_bib0235) 2009; 11 Meder (10.1016/j.nrl.2016.12.001_bib0290) 1995; 16 Sato (10.1016/j.nrl.2016.12.001_bib0220) 2012; 16 Krings (10.1016/j.nrl.2016.12.001_bib0195) 2009; 30 Lee (10.1016/j.nrl.2016.12.001_bib0375) 2009; 15 Donghai (10.1016/j.nrl.2016.12.001_bib0275) 2013; 38 Krings (10.1016/j.nrl.2016.12.001_bib0345) 2010; 33 Muralidharan (10.1016/j.nrl.2016.12.001_bib0260) 2011; 36 Avecillas-Chasín (10.1016/j.nrl.2016.12.001_bib0360) 2015; 139 Sri (10.1016/j.nrl.2016.12.001_bib0330) 2015; 29 Signorelli (10.1016/j.nrl.2016.12.001_bib0335) 2015; 128 Koenig (10.1016/j.nrl.2016.12.001_bib0230) 1989; 236 Cho (10.1016/j.nrl.2016.12.001_bib0295) 2005; 56 Aminoff (10.1016/j.nrl.2016.12.001_bib0315) 1974; 97 Brinjikji (10.1016/j.nrl.2016.12.001_bib0240) 2016; 37 Cenzato (10.1016/j.nrl.2016.12.001_bib0255) 2012; 32 Steinmetz (10.1016/j.nrl.2016.12.001_bib0320) 2004; 55 Chaudhary (10.1016/j.nrl.2016.12.001_bib0205) 2013; 23 Rashad (10.1016/j.nrl.2016.12.001_bib0265) 2014; 125 Toosi (10.1016/j.nrl.2016.12.001_bib0280) 2012 Kim (10.1016/j.nrl.2016.12.001_bib0210) 2006; 59 Rodesch (10.1016/j.nrl.2016.12.001_bib0340) 2003; 53 Song (10.1016/j.nrl.2016.12.001_bib0380) 2001; 94 Narvid (10.1016/j.nrl.2016.12.001_bib0245) 2008; 62 Gilbertson (10.1016/j.nrl.2016.12.001_bib0300) 1995; 16 Wang (10.1016/j.nrl.2016.12.001_bib0365) 2015; 22 Yen (10.1016/j.nrl.2016.12.001_bib0310) 2014; 21 Wang (10.1016/j.nrl.2016.12.001_bib0355) 2016 |
| References_xml | – volume: 11 start-page: 427 year: 2009 end-page: 431 ident: bib0235 article-title: Cervical spine dural arteriovenous fistula presenting with congestive myelopathy of the conus publication-title: J Neurosurg Spine. – volume: 236 start-page: 260 year: 1989 end-page: 266 ident: bib0230 article-title: Spinal arteriovenous malformations and fistulae: Clinical, neuroradiological and neurophysiological findings publication-title: J Neurol. – volume: 53 start-page: 103 year: 2013 end-page: 106 ident: bib0285 article-title: Transformation from asymptomatic to symptomatic of lower cervical spinal dural arteriovenous fistula publication-title: Neurol Med Chir. – volume: 62 start-page: 159 year: 2008 end-page: 167 ident: bib0245 article-title: Spinal dural arteriovenous fistulae: Clinical features and long-term results publication-title: Neurosurgery – volume: 20 start-page: 5 year: 2010 end-page: 24 ident: bib0200 article-title: Vascular malformations of the spine and spinal cord: Anatomy, classification, treatment publication-title: Clin Neuroradiol. – volume: 59 start-page: S195 year: 2006 end-page: S201 ident: bib0210 article-title: Classification and surgical management of spinal arteriovenous lesions: Arteriovenous fistulae and arteriovenous malformations publication-title: Neurosurgery. – volume: 32 start-page: E11 year: 2012 ident: bib0255 article-title: Spinal dural arteriovenous fistulas: Outcome and prognostic factors publication-title: Neurosurg Focus. – volume: 36 start-page: e1641 year: 2011 end-page: e1647 ident: bib0260 article-title: The clinical and radiological presentation of spinal dural arteriovenous fistula publication-title: Spine. – volume: 53 start-page: 40 year: 2003 end-page: 49 ident: bib0340 article-title: Embolization of spinal cord arteriovenous shunts: Morphological and clinical follow-up and results--review of 69 consecutive cases publication-title: Neurosurgery. – volume: 128 start-page: 123 year: 2015 end-page: 129 ident: bib0335 article-title: Diagnosis and management of dural arteriovenous fistulas: A 10 years single-center experience publication-title: Clin Neurol Neurosurg. – volume: 97 start-page: 211 year: 1974 end-page: 218 ident: bib0315 article-title: The prognosis of patients with spinal vascular malformations publication-title: Brain. – volume: 37 start-page: 380 year: 2016 end-page: 386 ident: bib0240 article-title: Clinical outcomes of patients with delayed diagnosis of spinal dural arteriovenous fistulas publication-title: AJNR Am J Neuroradiol. – volume: 33 start-page: 1 year: 2010 end-page: 9 ident: bib0345 article-title: Endovascular management of spinal vascular malformations publication-title: Neurosurg Rev. – volume: 56 start-page: 232 year: 2005 end-page: 241 ident: bib0295 article-title: Treatment of spinal cord perimedullary arteriovenous fistula: Embolization versus surgery publication-title: Neurosurgery. – volume: 45 start-page: 451 year: 1999 end-page: 457 ident: bib0350 article-title: Management of spinal dural arteriovenous fistulae using an interdisciplinary neuroradiological/neurosurgical approach: Experience with 47 cases publication-title: Neurosurgery. – volume: 139 start-page: 6 year: 2015 end-page: 11 ident: bib0360 article-title: Multiple spinal arteriovenous fistulas: A case-based review publication-title: Clin Neurol Neurosurg. – volume: 70 start-page: 360 year: 1989 end-page: 370 ident: bib0215 article-title: Hemodynamics of spinal dural arteriovenous fistulas. An intraoperative study publication-title: J Neurosurg. – volume: 45 start-page: 1309 year: 1995 end-page: 1313 ident: bib0225 article-title: Spinal dural arteriovenous fistula: The pathology of venous hypertensive myelopathy publication-title: Neurology. – volume: 15 start-page: 325 year: 2009 end-page: 329 ident: bib0375 article-title: Reversible aggravation of neurological déficits after steroid medication in patients with venous congestive myelopathy caused by spinal arteriovenous malformation publication-title: Interv Neuroradiol. – volume: 125 start-page: 81 year: 2014 end-page: 86 ident: bib0265 article-title: Management of spinal dural arteriovenous fistulas. Report of 12 cases and review of literature publication-title: Clin Neurol Neurosurg. – volume: 15 start-page: e39 year: 2015 end-page: e44 ident: bib0250 article-title: Late diagnosis of spinal dural arteriovenous fistulas resulting in severe lower-extremity weakness: A case series publication-title: Spine J. – volume: 94 start-page: 199 year: 2001 end-page: 204 ident: bib0380 article-title: Surgical and endovascular treatment of spinal dural arteriovenous fistulas: Long-term disability assessment and prognostic factors publication-title: J Neurosurg. – volume: 29 start-page: 505 year: 2015 end-page: 507 ident: bib0330 article-title: Combined radiological and surgical management of spinal dural fistulas publication-title: Br J Neurosurg – volume: 38 start-page: E546 year: 2013 end-page: E553 ident: bib0275 article-title: The diagnosis of spinal dural arteriovenous fistulas publication-title: Spine. – volume: 16 start-page: 441 year: 2012 end-page: 446 ident: bib0220 article-title: Asymptomatic spinal dural arteriovenous fistulas: Pathomechanical considerations publication-title: J Neurosurg Spine. – volume: 16 start-page: 2049 year: 1995 end-page: 2057 ident: bib0300 article-title: Spinal dural arteriovenous fistulas: MR and myelographic findings publication-title: AJNR Am J Neuroradiol. – volume: 56 start-page: 397 year: 2015 end-page: 402 ident: bib0305 article-title: The use of magnetic resonance imaging in predicting the clinical outcome of spinal arteriovenous fistula publication-title: Yonsei Med J. – year: 2016 ident: bib0370 article-title: Clinical outcomes following corticosteroid administration in patients with delayed diagnosis of spinal arteriovenous fistulas publication-title: J NeuroIntervent Surg. – start-page: 25 year: 2012 end-page: 30 ident: bib0280 article-title: Utiliyy of MRI in spinal arteriovenous fistula publication-title: Neurology – volume: 23 start-page: 729 year: 2013 end-page: 747 ident: bib0205 article-title: Endovascular treatment of adult spinal arteriovenous lesions publication-title: Neuroimag Clin N Am. – volume: 5 start-page: 7 year: 2014 ident: bib0325 article-title: Comparison of surgical and endovascular approach in management of spinal dural arteriovenous fistulas: A single center experience of 27 patients publication-title: Surg Neurol Int. – volume: 67 start-page: 1350 year: 2010 end-page: 1357 ident: bib0270 article-title: Surgical treatment of spinal dural arteriovenous fistulae: A consecutive series of 154 patients publication-title: Neurosurgery. – start-page: 1 year: 2016 end-page: 4 ident: bib0355 article-title: Microscope-assisted endoscopic interlaminar ligation of spinal arteriovenous fistulas: Technical note publication-title: J Neurosurg Spine. – volume: 16 start-page: 2058 year: 1995 end-page: 2062 ident: bib0290 article-title: Spontaneous disappearance of a spinal dural arteriovenous fistula publication-title: AJNR Am J Neuroradiol. – volume: 21 start-page: 837 year: 2014 end-page: 842 ident: bib0310 article-title: Spinal dural arteriovenous fistula: Correlation between radiological and clinical findings publication-title: J Neurosurg Spine. – volume: 55 start-page: 77 year: 2004 end-page: 87 ident: bib0320 article-title: Outcome after the treatment of spinal dural arteriovenous fistulae: A contemporary single-institution series and meta-analysis publication-title: Neurosurgery. – volume: 22 start-page: 1701 year: 2015 end-page: 1707 ident: bib0365 article-title: Natural history and treatment of craniocervical junction dural arteriovenous fistulas publication-title: J Clin Neurosci. – volume: 30 start-page: 639 year: 2009 end-page: 648 ident: bib0195 article-title: Spinal dural arteriovenous fistulas publication-title: Am J Neuroradiol. – volume: 29 start-page: 505 year: 2015 ident: 10.1016/j.nrl.2016.12.001_bib0330 article-title: Combined radiological and surgical management of spinal dural fistulas publication-title: Br J Neurosurg doi: 10.3109/02688697.2015.1012049 – volume: 30 start-page: 639 year: 2009 ident: 10.1016/j.nrl.2016.12.001_bib0195 article-title: Spinal dural arteriovenous fistulas publication-title: Am J Neuroradiol. doi: 10.3174/ajnr.A1485 – volume: 36 start-page: e1641 year: 2011 ident: 10.1016/j.nrl.2016.12.001_bib0260 article-title: The clinical and radiological presentation of spinal dural arteriovenous fistula publication-title: Spine. doi: 10.1097/BRS.0b013e31821352dd – volume: 56 start-page: 397 year: 2015 ident: 10.1016/j.nrl.2016.12.001_bib0305 article-title: The use of magnetic resonance imaging in predicting the clinical outcome of spinal arteriovenous fistula publication-title: Yonsei Med J. doi: 10.3349/ymj.2015.56.2.397 – volume: 15 start-page: e39 year: 2015 ident: 10.1016/j.nrl.2016.12.001_bib0250 article-title: Late diagnosis of spinal dural arteriovenous fistulas resulting in severe lower-extremity weakness: A case series publication-title: Spine J. doi: 10.1016/j.spinee.2013.08.029 – volume: 33 start-page: 1 year: 2010 ident: 10.1016/j.nrl.2016.12.001_bib0345 article-title: Endovascular management of spinal vascular malformations publication-title: Neurosurg Rev. doi: 10.1007/s10143-009-0204-6 – volume: 16 start-page: 2058 year: 1995 ident: 10.1016/j.nrl.2016.12.001_bib0290 article-title: Spontaneous disappearance of a spinal dural arteriovenous fistula publication-title: AJNR Am J Neuroradiol. – volume: 5 start-page: 7 year: 2014 ident: 10.1016/j.nrl.2016.12.001_bib0325 article-title: Comparison of surgical and endovascular approach in management of spinal dural arteriovenous fistulas: A single center experience of 27 patients publication-title: Surg Neurol Int. doi: 10.4103/2152-7806.125628 – volume: 55 start-page: 77 year: 2004 ident: 10.1016/j.nrl.2016.12.001_bib0320 article-title: Outcome after the treatment of spinal dural arteriovenous fistulae: A contemporary single-institution series and meta-analysis publication-title: Neurosurgery. doi: 10.1227/01.NEU.0000126878.95006.0F – volume: 94 start-page: 199 year: 2001 ident: 10.1016/j.nrl.2016.12.001_bib0380 article-title: Surgical and endovascular treatment of spinal dural arteriovenous fistulas: Long-term disability assessment and prognostic factors publication-title: J Neurosurg. – volume: 53 start-page: 40 year: 2003 ident: 10.1016/j.nrl.2016.12.001_bib0340 article-title: Embolization of spinal cord arteriovenous shunts: Morphological and clinical follow-up and results--review of 69 consecutive cases publication-title: Neurosurgery. doi: 10.1227/01.NEU.0000068701.25600.A1 – volume: 23 start-page: 729 year: 2013 ident: 10.1016/j.nrl.2016.12.001_bib0205 article-title: Endovascular treatment of adult spinal arteriovenous lesions publication-title: Neuroimag Clin N Am. doi: 10.1016/j.nic.2013.03.017 – year: 2016 ident: 10.1016/j.nrl.2016.12.001_bib0370 article-title: Clinical outcomes following corticosteroid administration in patients with delayed diagnosis of spinal arteriovenous fistulas publication-title: J NeuroIntervent Surg. – volume: 45 start-page: 1309 year: 1995 ident: 10.1016/j.nrl.2016.12.001_bib0225 article-title: Spinal dural arteriovenous fistula: The pathology of venous hypertensive myelopathy publication-title: Neurology. doi: 10.1212/WNL.45.7.1309 – volume: 32 start-page: E11 year: 2012 ident: 10.1016/j.nrl.2016.12.001_bib0255 article-title: Spinal dural arteriovenous fistulas: Outcome and prognostic factors publication-title: Neurosurg Focus. doi: 10.3171/2012.2.FOCUS1218 – volume: 38 start-page: E546 year: 2013 ident: 10.1016/j.nrl.2016.12.001_bib0275 article-title: The diagnosis of spinal dural arteriovenous fistulas publication-title: Spine. doi: 10.1097/BRS.0b013e31828a38c4 – volume: 128 start-page: 123 year: 2015 ident: 10.1016/j.nrl.2016.12.001_bib0335 article-title: Diagnosis and management of dural arteriovenous fistulas: A 10 years single-center experience publication-title: Clin Neurol Neurosurg. doi: 10.1016/j.clineuro.2014.11.011 – volume: 53 start-page: 103 year: 2013 ident: 10.1016/j.nrl.2016.12.001_bib0285 article-title: Transformation from asymptomatic to symptomatic of lower cervical spinal dural arteriovenous fistula publication-title: Neurol Med Chir. doi: 10.2176/nmc.53.103 – start-page: 1 year: 2016 ident: 10.1016/j.nrl.2016.12.001_bib0355 article-title: Microscope-assisted endoscopic interlaminar ligation of spinal arteriovenous fistulas: Technical note publication-title: J Neurosurg Spine. – start-page: 25 year: 2012 ident: 10.1016/j.nrl.2016.12.001_bib0280 article-title: Utiliyy of MRI in spinal arteriovenous fistula publication-title: Neurology doi: 10.1212/WNL.0b013e3182582f07 – volume: 59 start-page: S195 issue: 5 Suppl 3 year: 2006 ident: 10.1016/j.nrl.2016.12.001_bib0210 article-title: Classification and surgical management of spinal arteriovenous lesions: Arteriovenous fistulae and arteriovenous malformations publication-title: Neurosurgery. – volume: 37 start-page: 380 year: 2016 ident: 10.1016/j.nrl.2016.12.001_bib0240 article-title: Clinical outcomes of patients with delayed diagnosis of spinal dural arteriovenous fistulas publication-title: AJNR Am J Neuroradiol. doi: 10.3174/ajnr.A4504 – volume: 56 start-page: 232 year: 2005 ident: 10.1016/j.nrl.2016.12.001_bib0295 article-title: Treatment of spinal cord perimedullary arteriovenous fistula: Embolization versus surgery publication-title: Neurosurgery. doi: 10.1227/01.NEU.0000147974.79671.83 – volume: 21 start-page: 837 year: 2014 ident: 10.1016/j.nrl.2016.12.001_bib0310 article-title: Spinal dural arteriovenous fistula: Correlation between radiological and clinical findings publication-title: J Neurosurg Spine. doi: 10.3171/2014.7.SPINE13797 – volume: 67 start-page: 1350 year: 2010 ident: 10.1016/j.nrl.2016.12.001_bib0270 article-title: Surgical treatment of spinal dural arteriovenous fistulae: A consecutive series of 154 patients publication-title: Neurosurgery. doi: 10.1227/NEU.0b013e3181ef2821 – volume: 16 start-page: 441 year: 2012 ident: 10.1016/j.nrl.2016.12.001_bib0220 article-title: Asymptomatic spinal dural arteriovenous fistulas: Pathomechanical considerations publication-title: J Neurosurg Spine. doi: 10.3171/2012.2.SPINE11500 – volume: 11 start-page: 427 year: 2009 ident: 10.1016/j.nrl.2016.12.001_bib0235 article-title: Cervical spine dural arteriovenous fistula presenting with congestive myelopathy of the conus publication-title: J Neurosurg Spine. doi: 10.3171/2009.4.SPINE08118 – volume: 125 start-page: 81 year: 2014 ident: 10.1016/j.nrl.2016.12.001_bib0265 article-title: Management of spinal dural arteriovenous fistulas. Report of 12 cases and review of literature publication-title: Clin Neurol Neurosurg. doi: 10.1016/j.clineuro.2014.07.028 – volume: 20 start-page: 5 year: 2010 ident: 10.1016/j.nrl.2016.12.001_bib0200 article-title: Vascular malformations of the spine and spinal cord: Anatomy, classification, treatment publication-title: Clin Neuroradiol. doi: 10.1007/s00062-010-9036-6 – volume: 62 start-page: 159 year: 2008 ident: 10.1016/j.nrl.2016.12.001_bib0245 article-title: Spinal dural arteriovenous fistulae: Clinical features and long-term results publication-title: Neurosurgery doi: 10.1227/01.NEU.0000311073.71733.C4 – volume: 236 start-page: 260 year: 1989 ident: 10.1016/j.nrl.2016.12.001_bib0230 article-title: Spinal arteriovenous malformations and fistulae: Clinical, neuroradiological and neurophysiological findings publication-title: J Neurol. doi: 10.1007/BF00314453 – volume: 45 start-page: 451 year: 1999 ident: 10.1016/j.nrl.2016.12.001_bib0350 article-title: Management of spinal dural arteriovenous fistulae using an interdisciplinary neuroradiological/neurosurgical approach: Experience with 47 cases publication-title: Neurosurgery. doi: 10.1097/00006123-199909000-00006 – volume: 15 start-page: 325 year: 2009 ident: 10.1016/j.nrl.2016.12.001_bib0375 article-title: Reversible aggravation of neurological déficits after steroid medication in patients with venous congestive myelopathy caused by spinal arteriovenous malformation publication-title: Interv Neuroradiol. doi: 10.1177/159101990901500310 – volume: 22 start-page: 1701 year: 2015 ident: 10.1016/j.nrl.2016.12.001_bib0365 article-title: Natural history and treatment of craniocervical junction dural arteriovenous fistulas publication-title: J Clin Neurosci. doi: 10.1016/j.jocn.2015.05.014 – volume: 16 start-page: 2049 year: 1995 ident: 10.1016/j.nrl.2016.12.001_bib0300 article-title: Spinal dural arteriovenous fistulas: MR and myelographic findings publication-title: AJNR Am J Neuroradiol. – volume: 97 start-page: 211 year: 1974 ident: 10.1016/j.nrl.2016.12.001_bib0315 article-title: The prognosis of patients with spinal vascular malformations publication-title: Brain. doi: 10.1093/brain/97.1.211 – volume: 70 start-page: 360 year: 1989 ident: 10.1016/j.nrl.2016.12.001_bib0215 article-title: Hemodynamics of spinal dural arteriovenous fistulas. An intraoperative study publication-title: J Neurosurg. doi: 10.3171/jns.1989.70.3.0360 – volume: 139 start-page: 6 year: 2015 ident: 10.1016/j.nrl.2016.12.001_bib0360 article-title: Multiple spinal arteriovenous fistulas: A case-based review publication-title: Clin Neurol Neurosurg. doi: 10.1016/j.clineuro.2015.08.033 |
| SSID | ssj0025946 |
| Score | 2.044909 |
| Snippet | Las fístulas arteriovenosas espinales (FAVE) son excepcionales y representan el 3% de las lesiones espinales. Asocian gran morbilidad sin tratamiento precoz,... Resumen Objetivo Las fístulas arteriovenosas espinales (FAVE) son excepcionales y representan el 3% de las lesiones espinales. Asocian gran morbilidad sin... Resumen: Objetivo: Las fístulas arteriovenosas espinales (FAVE) son excepcionales y representan el 3% de las lesiones espinales. Asocian gran morbilidad sin... |
| SourceID | doaj crossref elsevier |
| SourceType | Open Website Index Database Publisher |
| StartPage | 438 |
| SubjectTerms | Arteriografía espinal Enfermedad vascular espinal Fístula arteriovenosa dural espinal Fístula arteriovenosa espinal Malformación vascular espinal Mielopatía Myelopathy Neurology Spinal angiography Spinal arteriovenous fistula Spinal dural arteriovenous fistula Spinal vascular disorder Spinal vascular malformation |
| Title | Fístulas arteriovenosas espinales del adulto. Manejo de una serie de casos desde una planta de Neurología |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S0213485317300026 https://www.clinicalkey.es/playcontent/1-s2.0-S0213485317300026 https://dx.doi.org/10.1016/j.nrl.2016.12.001 https://doaj.org/article/1c9502f8de414f1f9bb7f8437dce68cc |
| Volume | 33 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVAON databaseName: Directory of Open Access Journals issn: 0213-4853 databaseCode: DOA dateStart: 20170101 customDbUrl: isFulltext: true dateEnd: 99991231 titleUrlDefault: https://www.doaj.org/ omitProxy: false ssIdentifier: ssj0025946 providerName: Directory of Open Access Journals |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrR1Na90wzIwyRi9jX2Wv3UYOOxWyxh9x7OM29tilZbAOejO2I8PrSlKe3-u_6q_oH6vsOOUdSnfZMbZsJ5JiSZYsEfIZeULKXjU1yi40UAS0tVNC17rtgpXBic6pXGyiOztTFxf6106prxQTNqUHnhB3Qr1uGxZUD4KKQIN2rgtK8K73IJX3afdFrWc2poqp1erpig6jvBYokWZ_Zo7sGtbJ50BlPgcs1WBmiZQT9-8Iph1hs3xFXhYtsfo6vd1r8gziG_LitPjB35K_y7vbuNmi5lvlmMzVeJOSfuNj8pzjUIhVD1dVzq4xfqlO7QCXIzZV28FWiesgPXgbxwQYS8f1FeLZpp6cswO3xbtb-478Wf44__6zLmUTas9kS2vfaI5agHaNABS_vQXg2noKoDSzwbWQjj570UkduAyUWooYZBQhtOPS8QOyN4wDvCeVbHoE9Y3TFISW3rWhB2oZd7aVgfEFOZ5RZ66n7BhmDhu7NIhnk_BsKEuhcwvyLSH3ATAlts4NSG5TyG3-Re4FYTNpzHx3FHc7nGj11MrdY4Mglv81GmoiQprfiWESv9CUxh_N0wURDyOLSjKpGk8vePg_PvWI7OOUagpo-0D2NustfCTP_c1mFdefMr_fA6XvBOw |
| linkProvider | Directory of Open Access Journals |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=F%C3%ADstulas+arteriovenosas+espinales+del+adulto.+Manejo+de+una+serie+de+casos+desde+una+planta+de+Neurolog%C3%ADa&rft.jtitle=Neurolog%C3%ADa+%28Barcelona%2C+Spain%29&rft.au=Ortega-Suero%2C+G.&rft.au=Porta+Etessam%2C+J.&rft.au=Moreu+Gamazo%2C+M.&rft.au=Rodr%C3%ADguez-Boto%2C+G.&rft.date=2018-09-01&rft.pub=Elsevier+Espa%C3%B1a%2C+S.L.U&rft.issn=0213-4853&rft.volume=33&rft.issue=7&rft.spage=438&rft.epage=448&rft_id=info:doi/10.1016%2Fj.nrl.2016.12.001&rft.externalDocID=S0213485317300026 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0213-4853&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0213-4853&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0213-4853&client=summon |