title: Combined surgical and endovascular treatment of complex high-flow conus medullaris arteriovenous fistula associated with Parkes Weber syndrome: case report.
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.affiliation: Departments of 1 Radiology.
authors.forename: Arya N
authors.initials: AN
authors.lastname: Bagherpour
authors.affiliation: Neurology.
authors.forename: Gustavo J
authors.initials: GJ
authors.lastname: Rodriguez
authors.affiliation: Pediatric Radiology, and.
authors.forename: Chetan
authors.initials: C
authors.lastname: Moorthy
authors.affiliation: Neurosurgery, Texas Tech University Health Sciences Center, El Paso, Texas.
authors.forename: Todd T
authors.initials: TT
authors.lastname: Trier
authors.affiliation: Neurology.
authors.forename: Alberto
authors.initials: A
authors.lastname: Maud
mesh_terms: D000293:Adolescent; D001164:Arteriovenous Fistula / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods; D057510:Endovascular Procedures / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D013341:Sturge-Weber Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome
keywords: AV = arteriovenous; AVF = AV fistula; AVM = AV malformation; DSA = digital subtraction angiography; KTS = Klippel-Trenaunay syndrome; NBCA = N-butyl cyanoacrylate; PWS = Parkes Weber syndrome; Parkes Weber Syndrome; SAH = subarachnoid hemorrhage; arteriovenous fistula; endovascular; spinal cord; treatment; vascular disorders; vascular malformation