Asunto(s)
Hamartoma/terapia , Enfermedades Hipotalámicas/terapia , Neurocirugia/métodos , Hamartoma/complicaciones , Hamartoma/diagnóstico , Hamartoma/historia , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Enfermedades Hipotalámicas/complicaciones , Enfermedades Hipotalámicas/diagnóstico , Enfermedades Hipotalámicas/historiaRESUMEN
In this historical perspective, the author identifies three epochs in the development of the concepts and treatment of spinal vascular lesions: 1) early observations (1860s-1912), with the lesions during this time period recognized only at autopsy; 2) the "middle ages" (1912-1960), with surgical intervention sporadic and yielding dismal results; and 3) the modern era (beginning in the 1960s), coincident with parallel dramatic advances in radiology, microsurgical instrumentation, and anesthesiology. These advances resulted in a better understanding of the pathophysiological aspects and angioarchitecture of the lesions. Whereas the nomenclature of the lesions in the past was confusing, a new understanding of these diseases that has emerged during the modern era has permitted refinement of the classification of the lesions as distinct biological entities. Modern diagnostic imaging has enabled identification of patients who may benefit from surgical or embolic occlusion, and treatment has become rationally based. Future progress in the management of spinal vascular lesions may be anticipated, with improvement in noninvasive imaging for early detection of suspected abnormalities. Furthermore, advances in spinal cord neuroprotection may expand the range of future options for surgical or embolic intervention.
Asunto(s)
Malformaciones Vasculares del Sistema Nervioso Central/historia , Neurocirugia/historia , Procedimientos Neuroquirúrgicos/historia , Enfermedades de la Columna Vertebral/historia , Adolescente , Adulto , Angiografía/historia , Malformaciones Vasculares del Sistema Nervioso Central/clasificación , Malformaciones Vasculares del Sistema Nervioso Central/diagnóstico , Malformaciones Vasculares del Sistema Nervioso Central/diagnóstico por imagen , Malformaciones Vasculares del Sistema Nervioso Central/patología , Malformaciones Vasculares del Sistema Nervioso Central/cirugía , Niño , Diagnóstico Diferencial , Europa (Continente) , Femenino , Hamartoma/diagnóstico , Hamartoma/diagnóstico por imagen , Hamartoma/historia , Hamartoma/patología , Hamartoma/cirugía , Hemangioma Cavernoso del Sistema Nervioso Central/diagnóstico , Hemangioma Cavernoso del Sistema Nervioso Central/diagnóstico por imagen , Hemangioma Cavernoso del Sistema Nervioso Central/historia , Hemangioma Cavernoso del Sistema Nervioso Central/patología , Hemangioma Cavernoso del Sistema Nervioso Central/cirugía , Historia del Siglo XIX , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Laminectomía , Masculino , Radiología/historia , Médula Espinal/irrigación sanguínea , Enfermedades de la Columna Vertebral/diagnóstico , Enfermedades de la Columna Vertebral/diagnóstico por imagen , Enfermedades de la Columna Vertebral/patología , Enfermedades de la Columna Vertebral/cirugía , Neoplasias de la Columna Vertebral/diagnóstico , Neoplasias de la Columna Vertebral/diagnóstico por imagen , Neoplasias de la Columna Vertebral/historia , Neoplasias de la Columna Vertebral/patología , Neoplasias de la Columna Vertebral/cirugía , Estados UnidosRESUMEN
The sebaceous nevus is a common nevus and can be easily diagnosed because of its typical rough fatty surface due to its amount of sebaceous glands. In some rare cases, the sebaceous nevus is part of a genetic disorder, the Schimmelpenning-Feuerstein-Mims (SFM) syndrome. If the SFM syndrome is suspected, further investigation is necessary, because multiple organ involvement is highly likely. We suggest that diagnosis of the SFM syndrome is simple, considering the special linear arrangement of sebaceous nevi in cases of SFM syndrome.