Arteriovenózní malformace conus medullaris - kazuistika

Title in English Conus Medullaris Arteriovenous Malformation - a Case Report


Year of publication 2013
Type Article in Periodical
Magazine / Source Česká a Slovenská neurologie a neurochirurgie
MU Faculty or unit

Faculty of Medicine

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.

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