[Responsibility of the left renal vein and inferior vena cava in certain cases of myelitis and syringomyelia. Value of ligation of the venous reno-spinal trunk. Apropos of 30 cases].
Certain diffuse forms of myelitis may be due to raised intra-spinal venous pressure resulting in veritable "varicose veins of the spinal cord". The origin of this increased pressure is often multifactorial, but may be due to venous reflux of blood from the left kidney into the intraspinal plexuses via the reno-spinal trunk. Ligation of this trunk results in a considerable and often complete improvement in the neurological syndrome. This operation was performed for the first time by our team in 1973 and since then has been successfully performed on 30 occasions for 21 cases of myelopathy and 9 cases of syringomyelia.
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D006978:Hypertension, Renovascular / Q000150:complications* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009187:Myelitis / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery; D012082:Renal Veins / Q000503:physiopathology*; D013595:Syringomyelia / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery; D014682:Vena Cava, Inferior / Q000503:physiopathology*; D014690:Venous Pressure
Responsabilité de la veine rénale gauche et de la veine cave inférieure dans certains cas de myélites et de syringomyélie. Intérêt de la ligature du tronc veineux réno-rachidien. A propos de trente cas.