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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleSpine Imaging and Spine Image-Guided Interventions
Open Access

High Prevalence of Spinal Cord Cavernous Malformations in the Familial Cerebral Cavernous Malformations Type 1 Cohort

M.C. Mabray, J. Starcevich, J. Hallstrom, M. Robinson, M. Bartlett, J. Nelson, A. Zafar, H. Kim, L. Morrison and B.L. Hart
American Journal of Neuroradiology June 2020, 41 (6) 1126-1130; DOI: https://doi.org/10.3174/ajnr.A6584
M.C. Mabray
aFrom the Departments of Radiology (M.C.M., J.S., J.H., B.L.H.)
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J. Starcevich
aFrom the Departments of Radiology (M.C.M., J.S., J.H., B.L.H.)
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  • ORCID record for J. Starcevich
J. Hallstrom
aFrom the Departments of Radiology (M.C.M., J.S., J.H., B.L.H.)
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M. Robinson
bNeurology (M.R., M.B., A.Z., L.M.), University of New Mexico Health Sciences Center, University of New Mexico, Albuquerque, New Mexico
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M. Bartlett
bNeurology (M.R., M.B., A.Z., L.M.), University of New Mexico Health Sciences Center, University of New Mexico, Albuquerque, New Mexico
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J. Nelson
cDepartments of Anesthesia and Perioperative Care, Center for Cerebrovascular Research (J.N., H.K.)
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A. Zafar
bNeurology (M.R., M.B., A.Z., L.M.), University of New Mexico Health Sciences Center, University of New Mexico, Albuquerque, New Mexico
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H. Kim
cDepartments of Anesthesia and Perioperative Care, Center for Cerebrovascular Research (J.N., H.K.)
dEpidemiology and Biostatistics (H.K.), University of California San Francisco, San Francisco, California.
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L. Morrison
bNeurology (M.R., M.B., A.Z., L.M.), University of New Mexico Health Sciences Center, University of New Mexico, Albuquerque, New Mexico
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B.L. Hart
aFrom the Departments of Radiology (M.C.M., J.S., J.H., B.L.H.)
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    Fig 1.

    Flow chart of the study.

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    Fig 2.

    Sagittal T1 TSE (A), sagittal T2 TSE (B), sagittal 3D MEDIC (C), and axial reformat of the 3D MEDIC (D), from spinal cord screening research MR imaging and corresponding SWI from brain research MR imaging done on the same day (E). On sagittal 3D MEDIC (C), arrowsdenote small SCCM. D, Axial reformat shows small CM in the right aspect of the spinal cord (arrow), corresponding to the more inferior of the 2 lesions. E, SWI of the brain shows multiple CMs which are typical of familial CCM syndrome.

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    Fig 3.

    A, Sagittal T1 TSE and sagittal T2 TSE (B), from clinical MR imaging of the thoracic spine demonstrates spinal cord hemorrhage from a SCCM. On sagittal T1 TSE (A), there are T1 hyperintense blood products tracking down the thoracic spinal cord (arrow) toward the conus medularis. On sagittal T2 TSE (B), there are mixed-signal blood products (arrow) at the site of the spinal cord cavernous malformation.

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    Table 1:

    Analysis of sequence sensitivity for SCCM, retrospectively performed on 15 clinically performed cervical spine MR imaging studies

    Number of SCCMs DetectedSensitivity Relative to Total Number of SCCMs
    Sagittal T1 TSE3 of 2114.3% (95% CI, 3.0%–36.3%)
    Sagittal T2 TSE6 of 2128.6% (95% CI, 11.2%–52.2%)
    Axial T2 TSE5 of 2123.8% (95% CI, 8.2%–47.2%)
    Axial T2 MEDIC17 of 2181.0% (95% CI, 58.1%–94.6%)
    3D MEDIC8 of 8a100% (95% CI, 68.8%–100%)
    • ↵a 3D MEDIC sequence was performed on a subset of patients.

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    Table 2:

    Results of prospective screening MR imaging of the spinal cord

    PrevalenceLesions per Patient
    Spinal cord cavernous malformations21/29 72.4% (95% CI, 52.8%–87.3%)Mean = 3.2 (SD 3.9)
    Median = 2
    Range = 0–17
    Cerebral cavernous malformations29/29 100% (95% CI, 90.2%–100%)Mean = 105.7 (SD 128.0)
    Median = 53
    Range = 4–584
    Vertebral osseous vascular malformations20/29 69.0% (95% CI, 49.2%–84.7%)Mean = 1.6 (SD 1.7)
    Median = 1
    Range = 0–7
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American Journal of Neuroradiology: 41 (6)
American Journal of Neuroradiology
Vol. 41, Issue 6
1 Jun 2020
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M.C. Mabray, J. Starcevich, J. Hallstrom, M. Robinson, M. Bartlett, J. Nelson, A. Zafar, H. Kim, L. Morrison, B.L. Hart
High Prevalence of Spinal Cord Cavernous Malformations in the Familial Cerebral Cavernous Malformations Type 1 Cohort
American Journal of Neuroradiology Jun 2020, 41 (6) 1126-1130; DOI: 10.3174/ajnr.A6584

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High Prevalence of Spinal Cord Cavernous Malformations in the Familial Cerebral Cavernous Malformations Type 1 Cohort
M.C. Mabray, J. Starcevich, J. Hallstrom, M. Robinson, M. Bartlett, J. Nelson, A. Zafar, H. Kim, L. Morrison, B.L. Hart
American Journal of Neuroradiology Jun 2020, 41 (6) 1126-1130; DOI: 10.3174/ajnr.A6584
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