Arteriovenous malformation of the conus supplied by the artery of Desproges-Gotteron: Case report

R. Shane Tubbs, Martin M. Mortazavi, Andrew J. Denardo, Aaron Cohen-Gadol

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

The artery of Desproges-Gotteron is rarely mentioned in the literature and is unfamiliar to most neurosurgeons. The authors report a unique case of an arteriovenous malformation (AVM) of the conus in an adult woman, which received blood supply from an artery of Desproges-Gotteron. The patient presented with intermittent pain radiating down the right posterior thigh and foot and transient bladder incontinence. On examination, there was weakness of the right lower limb with hypalgesia of the plantar aspect of the right foot. Magnetic resonance imaging revealed a mass near the anterior aspect of the conus medullaris and angiography confirmed a spinal AVM at the L-1 level and a shunt located at the inferior L-3 level. The patient underwent transarterial embolization, and at 2-year follow-up, repeat angiography demonstrated no evidence of residual or recurrent spinal AVM, intermittent and tolerable pain without treatment interventions, and a normal neurological examination. The artery of Desproges-Gotteron appears to be a rare arterial variation. Moreover, the authors believe this to be the first case of a conal AVM supplied by such an artery. The anatomy and implications of such an arterial variant are discussed.

Original languageEnglish
Pages (from-to)529-531
Number of pages3
JournalJournal of Neurosurgery: Spine
Volume14
Issue number4
DOIs
StatePublished - Apr 2011

Fingerprint

Arteriovenous Malformations
Arteries
Foot
Angiography
Pain
Neurologic Examination
Thigh
Lower Extremity
Spinal Cord
Anatomy
Urinary Bladder
Magnetic Resonance Imaging
Therapeutics

Keywords

  • Arteriography
  • Arteriovenous malformation
  • Desproges-Gotteron
  • Internal iliac artery

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Neurology

Cite this

Arteriovenous malformation of the conus supplied by the artery of Desproges-Gotteron : Case report. / Tubbs, R. Shane; Mortazavi, Martin M.; Denardo, Andrew J.; Cohen-Gadol, Aaron.

In: Journal of Neurosurgery: Spine, Vol. 14, No. 4, 04.2011, p. 529-531.

Research output: Contribution to journalArticle

Tubbs, R. Shane ; Mortazavi, Martin M. ; Denardo, Andrew J. ; Cohen-Gadol, Aaron. / Arteriovenous malformation of the conus supplied by the artery of Desproges-Gotteron : Case report. In: Journal of Neurosurgery: Spine. 2011 ; Vol. 14, No. 4. pp. 529-531.
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