Arteriovenózní malformace conus medullaris - kazuistika
| Title in English | Conus Medullaris Arteriovenous Malformation - a Case Report |
|---|---|
| Authors | |
| Year of publication | 2013 |
| Type | Article in Periodical |
| Magazine / Source | Česká a Slovenská neurologie a neurochirurgie |
| MU Faculty or unit | |
| Citation | |
| Field | Neurology, neurosurgery, neurosciences |
| Keywords | arteriovenous malformation; conus medullaris; microsurgery; endovascular treatment |
| Description | Conus medullaris AVM is a very rare lesion. Only a few case reports have been described in the literature. The first cohort of 16 patients was described by Spetzler in April 2012. These AVMs are very complex, high-flow lesions in eloquent area. The most frequent symptoms are paraparesis, sphincter disorders and pain. The lesion presents with bleeding in one third of patients. The authors describe a case of 30-years old female with a half year history of slowly progressing symptoms. Her conus medullaris AVM was excised by microsurgery with a good result. This is the first case of a successfully treated conus medullaris AVM published in the Czech Republic. A literature review and our own experience suggest that the choice of treatment has to be individual. A combination of endovascular obliteration followed by microsurgical excision or microsurgical excision only is the most commonly used treatment modality. Good treatment results are possible in a large proportion of patients. |