The Artery of Desproges-Gotteron: Anatomical, Pathological and Neurosurgical Significance

  1. Oday Atallah
  2. Arwa Jader
  3. Princess Afia Nkrumah-Boateng
  4. Santiago Pastrana Brandes
  5. Alan Hernández-Hernández
  6. Wireko Andrew Awuah
  7. Vishal Chavda
  8. Mohammed Ali
  9. Mohammed Waleed Sharshera
  10. Ahmad Alali
  11. Maen Saris
  12. Fadi Al-Tarawni

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Abstract

Background: In 1955, the pioneering work of Robert Desproges-Gotteron greatly improved our understanding of the anatomy of the human vasculature, in particular the discovery of the Artery of Desproges-Gotteron (ADG). The aim of this study is to provide an in-depth analysis of the ADG through a comprehensive literature review and to provide information on its anatomy and neurosurgical implications. Method: This evaluation was conducted through a comprehensive analysis of the literature, focusing on publications related to the ADG. A search of electronic databases, including PubMed, ScienceDirect, and Web of Science, was performed from the inception of each database until July 2025. The search strategy employed specific keywords and phrases such as “Artery of Desproges-Gotteron,” “cone artery,” and “radiculomedullary arteries.” Results: The ADG is a branch of the internal iliac artery that supplies the conus medullaris. Eight articles met the inclusion criteria and investigated the clinical significance of the ADG. The main pathology involved was AVF in approximately 5 (62.5%) patients and lumbar disc prolapse in 2 (25%) patients. Three patients (37.5%) presented with cauda equina syndrome, while the others presented with a combination of motor weakness and sphincter dysfunction. Approximately 4 (50%) patients were treated by endovascular interventions, while 2 (25%) patients had disc prolapse resulting in ADG vascular compromise. Conclusion: The ADG is essential in neurosurgery and neuroradiology for precise intervention in spinal arteriovenous malformation surgery. Compression of the artery can lead to conus medullaris syndrome. Understanding its variability is critical for neurosurgeons to demonstrate continuous improvement in patient care.

Article activity feed

  1. PREreview

    This Zenodo record is a permanently preserved version of a PREreview. You can view the complete PREreview at https://prereview.org/reviews/18512707.

    Summary:

    The preprint "The Artery of Desproges-Gotteron: Anatomical, Pathological and Neurosurgical Significance" is a systematic review designed to describe the structure and function of the Artery of Desproges-Gotteron(ADG), as well as informing neurovascular practice on the distal spine in this context. The article focuses specifically on analyzing the ADG and surrounding lumbar vasculature, and how understanding of this area can inform surgical planning and treatment.

    Strengths

    • The Introduction provides valuable background information on ADG for understanding the rest of the paper. This information is connected to clinical outcomes, establishing a recognizable pattern for the rest of the paper.

    • The Figures and Table provided enhance understanding and improve digestibility in an efficient manner.

    • There are multiple measures of credibility present, including: descriptions of exclusion criteria, a detailed limitations section, and consideration of conflicts of interest.

    Suggestions/Improvements:

    • Introduction

      • No significant connection is presented between Dr. Desproges-Gotteron discovery of anatomic variation of the Adamkiewicz artery and this review of the ADG. This information should either be connected or discarded.

    • Methodology

      • The articles used a range between 1955 and 2025, which brings into question whether the data from the articles/case reports is still up to date or no longer valid.

      • Predefined Criteria need to be clearly and explicitly defined for further credibility.

      • The screening process is vague and seems to rely on researcher opinion rather than clear, objective measures.

    •  Neurosurgical relevance

      • The acronyms (MRI) and (CTA) can be added to the phrase "magnetic resonance imaging and computed tomography angiography" to enhance readability.

      • Table 1 requires more blank space between the Study Column and Summary column for visual clarity.

    Competing interests

    The authors declare that they have no competing interests.

    Use of Artificial Intelligence (AI)

    The authors declare that they did not use generative AI to come up with new ideas for their review.

  2. Version published to 10.20944/preprints202509.0134.v1