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Spinal perimedullary arteriovenous fistula supplied by the artery of Desproges-Gotteron: A case report with literature review

Spinal perimedullary arteriovenous fistula (PAVF) of the conus medullaris and cauda equina supplied by the artery of Desproges-Gotteron (ADG) is rare. The present study reports such a rare case and also presents a brief literature review. The patient described herein was a 31-year-old female. She su...

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Autores principales: Wang, Yiheng, Yu, Jinlu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: D.A. Spandidos 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829189/
https://www.ncbi.nlm.nih.gov/pubmed/36700151
http://dx.doi.org/10.3892/mi.2021.26
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author Wang, Yiheng
Yu, Jinlu
author_facet Wang, Yiheng
Yu, Jinlu
author_sort Wang, Yiheng
collection PubMed
description Spinal perimedullary arteriovenous fistula (PAVF) of the conus medullaris and cauda equina supplied by the artery of Desproges-Gotteron (ADG) is rare. The present study reports such a rare case and also presents a brief literature review. The patient described herein was a 31-year-old female. She suffered sudden weakness in the lower limbs, a condition which was then gradually aggravated. A physical examination revealed paraplegia, and urination and defecation difficulties. Spinal magnetic resonance imaging (MRI) and computed tomography angiography (CTA) revealed extensive perimedullary vein dilation with the involvement of the ADG as the main feeding artery. Digital subtraction angiography (DSA) confirmed a high-flow PAVF supplied by the ADG and artery of Adamkiewicz (AKA). Microsurgical treatment under intraoperative DSA assistance was performed. The PAVF was resected, and immediately following DSA confirmed the complete removal of the PAVF. Following discharge, the patient was prescribed rehabilitation exercises and gradually recovered. A follow-up CTA and MRI confirmed that the PAVF was cured, and her modified Rankin scale score was 2. Therefore, as demonstrated herein, microsurgery with intraoperative DSA assistance may be considered an effective treatment option for PAVFs with ADG.
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spelling pubmed-98291892023-01-24 Spinal perimedullary arteriovenous fistula supplied by the artery of Desproges-Gotteron: A case report with literature review Wang, Yiheng Yu, Jinlu Med Int (Lond) Case Report Spinal perimedullary arteriovenous fistula (PAVF) of the conus medullaris and cauda equina supplied by the artery of Desproges-Gotteron (ADG) is rare. The present study reports such a rare case and also presents a brief literature review. The patient described herein was a 31-year-old female. She suffered sudden weakness in the lower limbs, a condition which was then gradually aggravated. A physical examination revealed paraplegia, and urination and defecation difficulties. Spinal magnetic resonance imaging (MRI) and computed tomography angiography (CTA) revealed extensive perimedullary vein dilation with the involvement of the ADG as the main feeding artery. Digital subtraction angiography (DSA) confirmed a high-flow PAVF supplied by the ADG and artery of Adamkiewicz (AKA). Microsurgical treatment under intraoperative DSA assistance was performed. The PAVF was resected, and immediately following DSA confirmed the complete removal of the PAVF. Following discharge, the patient was prescribed rehabilitation exercises and gradually recovered. A follow-up CTA and MRI confirmed that the PAVF was cured, and her modified Rankin scale score was 2. Therefore, as demonstrated herein, microsurgery with intraoperative DSA assistance may be considered an effective treatment option for PAVFs with ADG. D.A. Spandidos 2021-12-28 /pmc/articles/PMC9829189/ /pubmed/36700151 http://dx.doi.org/10.3892/mi.2021.26 Text en Copyright: © Wang et al. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
spellingShingle Case Report
Wang, Yiheng
Yu, Jinlu
Spinal perimedullary arteriovenous fistula supplied by the artery of Desproges-Gotteron: A case report with literature review
title Spinal perimedullary arteriovenous fistula supplied by the artery of Desproges-Gotteron: A case report with literature review
title_full Spinal perimedullary arteriovenous fistula supplied by the artery of Desproges-Gotteron: A case report with literature review
title_fullStr Spinal perimedullary arteriovenous fistula supplied by the artery of Desproges-Gotteron: A case report with literature review
title_full_unstemmed Spinal perimedullary arteriovenous fistula supplied by the artery of Desproges-Gotteron: A case report with literature review
title_short Spinal perimedullary arteriovenous fistula supplied by the artery of Desproges-Gotteron: A case report with literature review
title_sort spinal perimedullary arteriovenous fistula supplied by the artery of desproges-gotteron: a case report with literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829189/
https://www.ncbi.nlm.nih.gov/pubmed/36700151
http://dx.doi.org/10.3892/mi.2021.26
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