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Combined surgical and endovascular treatment of complex high-flow conus medullaris arteriovenous fistula associated with Parkes Weber syndrome: case report.
J Neurosurg Spine. 2016 Aug; 25(2):234-8.JN

Abstract

Parkes Weber syndrome (PWS) is a congenital overgrowth disorder characterized by unilateral limb and axial hypertrophy, capillary malformations of the skin, and high-flow arteriovenous fistulas (AVFs). Spinal AVFs in the setting of PWS are challenging vascular lesions that often contain multiple arteriovenous (AV) shunts. The present case report highlights an adolescent girl with PWS who presented with a ruptured complex high-flow conus medullaris AVF. She was successfully treated with endovascular embolization and microsurgery. At the 2-year follow-up, the patient remained free of neurological symptoms and had no recurrence of the vascular malformation.

Authors+Show Affiliations

Departments of 1 Radiology.Neurology.Pediatric Radiology, and.Neurosurgery, Texas Tech University Health Sciences Center, El Paso, Texas.Neurology.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27015132

Citation

Bagherpour, Arya N., et al. "Combined Surgical and Endovascular Treatment of Complex High-flow Conus Medullaris Arteriovenous Fistula Associated With Parkes Weber Syndrome: Case Report." Journal of Neurosurgery. Spine, vol. 25, no. 2, 2016, pp. 234-8.
Bagherpour AN, Rodriguez GJ, Moorthy C, et al. Combined surgical and endovascular treatment of complex high-flow conus medullaris arteriovenous fistula associated with Parkes Weber syndrome: case report. J Neurosurg Spine. 2016;25(2):234-8.
Bagherpour, A. N., Rodriguez, G. J., Moorthy, C., Trier, T. T., & Maud, A. (2016). Combined surgical and endovascular treatment of complex high-flow conus medullaris arteriovenous fistula associated with Parkes Weber syndrome: case report. Journal of Neurosurgery. Spine, 25(2), 234-8. https://doi.org/10.3171/2016.1.SPINE151156
Bagherpour AN, et al. Combined Surgical and Endovascular Treatment of Complex High-flow Conus Medullaris Arteriovenous Fistula Associated With Parkes Weber Syndrome: Case Report. J Neurosurg Spine. 2016;25(2):234-8. PubMed PMID: 27015132.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combined surgical and endovascular treatment of complex high-flow conus medullaris arteriovenous fistula associated with Parkes Weber syndrome: case report. AU - Bagherpour,Arya N, AU - Rodriguez,Gustavo J, AU - Moorthy,Chetan, AU - Trier,Todd T, AU - Maud,Alberto, Y1 - 2016/03/25/ PY - 2016/3/26/entrez PY - 2016/3/26/pubmed PY - 2017/2/23/medline KW - AV = arteriovenous KW - AVF = AV fistula KW - AVM = AV malformation KW - DSA = digital subtraction angiography KW - KTS = Klippel-Trenaunay syndrome KW - NBCA = N-butyl cyanoacrylate KW - PWS = Parkes Weber syndrome KW - Parkes Weber Syndrome KW - SAH = subarachnoid hemorrhage KW - arteriovenous fistula KW - endovascular KW - spinal cord KW - treatment KW - vascular disorders KW - vascular malformation SP - 234 EP - 8 JF - Journal of neurosurgery. Spine JO - J Neurosurg Spine VL - 25 IS - 2 N2 - Parkes Weber syndrome (PWS) is a congenital overgrowth disorder characterized by unilateral limb and axial hypertrophy, capillary malformations of the skin, and high-flow arteriovenous fistulas (AVFs). Spinal AVFs in the setting of PWS are challenging vascular lesions that often contain multiple arteriovenous (AV) shunts. The present case report highlights an adolescent girl with PWS who presented with a ruptured complex high-flow conus medullaris AVF. She was successfully treated with endovascular embolization and microsurgery. At the 2-year follow-up, the patient remained free of neurological symptoms and had no recurrence of the vascular malformation. SN - 1547-5646 UR - https://www.unboundmedicine.com/medline/citation/27015132/Combined_surgical_and_endovascular_treatment_of_complex_high_flow_conus_medullaris_arteriovenous_fistula_associated_with_Parkes_Weber_syndrome:_case_report_ L2 - https://thejns.org/doi/10.3171/2016.1.SPINE151156 DB - PRIME DP - Unbound Medicine ER -