Arteriovenous Malformation of Conus Medullaris Fed by the Artery of Desproges-Gotteron

Journal of Neurosciences in Rural Practice

Shahnawas Bishwas¹  Motasimul Hasan Shiplu¹  Md Shafiqul Islam¹  Musannah Ashfaq¹  Md Sumon Rana¹  Mamunur Rashid¹  Farzana Alam² 

[1] Department of Neurosurgery, Dhaka Medical College & Hospital, Dhaka, Bangladesh;Department of Radiology and Imaging, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh;

关键词: conus medullaris;    arteriovenous fistula;    desproges-gotteron;    embolization;    endocryl;   

DOI  :  10.1055/s-0042-1744118

来源: DOAJ

【 摘 要 】

Presence of the artery of Desproges-Gotteron is extremely rare. It has seldom been mentioned in the literature as well. The authors have dealt with a case of a dural arteriovenous malformation (AVM) of conus medullaris fed by the artery of Desproges-Gotteron in a young female of 19 years. The patient presented with a tingling sensation of lower limbs, progressive difficulty walking, and incontinence of the bladder. There was weakness in all groups of muscle of both lower limbs and definite sensory level on examination. Magnetic resonance imaging revealed multiple flow voids at the level of conus medullaris. Spinal digital subtraction angiography (DSA) revealed dural AVM at the level of conus. The patient underwent transarterial embolization with 30% Endocryl(n-butyl cyanoacrylate) in two stages, and repeated spinal DSA revealed no evidence of residual AVM. Patient's neurology gradually improved. Almost 2 years down the line, the follow-up revealed gradual but complete motor and sensory deficits recovery except for occasional burning pain in lower limbs. Spinal AVM supplied by the artery of Desproges-Gotteron is a unique variation. Moreover, the authors believe that it is the first reported case in Bangladesh.

【 授权许可】

Unknown