PMC9633571_01
Artery of Adamkiewicz:coronal. Coronal contrast-enhanced MR angiography (CE-MRA) in the arterial phase depicts artery of Adamkiewicz (arrowhead), ascending from left dural plans to the midsagittal surface of the spinal cord, joining to the anterior spinal artery (arrow), after its characteristic "hairpin" turn.
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The vessel reaches its upper limit, at the level of D12 segmental artery, that is in close relationship with the inferior limit of the thoracic expansive lesion (Fig. 1, Fig. 2 and 2). Therefore, the video-assisted biopsy targeted the most superior and anterior faces of the tumor, being performed without complications and the child was discharged the following day.