Pediatric perimedullary arteriovenous fistula of the conus medullaris supplied by the artery of Desproges-Gotteron: Case report

José E. Cohen, Shlomo Constantini, John M. Gomori, Mony Benifla, Eyal Itshayek

Research output: Contribution to journalArticlepeer-review

Abstract

The cone artery, or artery of Desproges-Gotteron, is sometimes seen arising from the internal iliac artery. The authors describe a case of a symptomatic perimedullary arteriovenous fistula (AVF) of the conus medullaris in an 8-year-old boy who presented with a protracted history of urinary difficulty and severe sudden-onset right lumbosciatic pain that evolved to severe paraparesis with compromise of the sphincter muscles. The spinal AVF, which was supplied by the cone artery and a thoracic radiculomedullary artery that joined at the fistula site in a large partially thrombosed varix, was completely occluded with Onyx liquid embolic. The patient's clinical condition improved rapidly after embolization. As shown in this patient, urgent endovascular embolization of spinal AVFs can be very rewarding, even in patients with severe neurological presentation. The artery of Desproges-Gotteron appears to be a rare arterial variation. To the authors' knowledge, this is the first pediatric case of a conal AVF supplied by this artery.

Original languageEnglish
Pages (from-to)426-430
Number of pages5
JournalJournal of Neurosurgery: Pediatrics
Volume11
Issue number4
DOIs
StatePublished - Apr 2013
Externally publishedYes

Keywords

  • Artery of Desproges-Gotteron
  • Conus medullaris
  • Onyx embolization
  • Pediatric
  • Spinal arteriovenous malformation
  • Vascular disorders

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