Abstract
Intracranial pial arteriovenous fistulas (AVF) are rare vascular malformation especially in the first 2 years of life. The pathology in this age group is associated with greater morbidity and mortality. We report a rare case of 36-day-old male infant with a pial AVF associated with an arterial aneurysm, who presented with intraventricular hemorrhage and hydrocephalus. In addition, an online review of the literatures on pediatric pial AVF was performed using PubMed on published case reports and articles from 1980 to April 2013.
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Aoki N, Sakai T, Oikawa A (1991) Intracranial arteriovenous fistula manifesting as progressive neurological deterioration in an infant: case report. Neurosurgery 28:619–622, discussion 622–613
Berenstein A, Ortiz R, Niimi Y, Elijovich L, Fifi J, Madrid M, Ghatan S, Molofsky W (2010) Endovascular management of arteriovenous malformations and other intracranial arteriovenous shunts in neonates, infants, and children. Childs Nerv Syst 26:1345–1358
Cooke D, Tatum J, Farid H, Dowd C, Higashida R, Halbach V (2012) Transvenous embolization of a pediatric pial arteriovenous fistula. J Neurointerv Surg 4:e14
Dunn WK, Jaspan T (1993) Case report: cerebral arteriovenous fistula in the Klippel–Trenaunay–Weber syndrome. Clin Radiol 48:134–136
Fatima Z, Ishigame K, Hori M, Araki T (2010) Time-resolved contrast-enhanced magnetic resonance digital subtraction angiography (MRDSA) in an infant with congenital pial arteriovenous fistula in the brain: a case report. Childs Nerv Syst 26:1121–1124
Garel C, Azarian M, Lasjaunias P, Luton D (2005) Pial arteriovenous fistulas: dilemmas in prenatal diagnosis, counseling and postnatal treatment. Report of three cases. Ultrasound Obstet Gynecol 26:293–296
Halbach VV, Higashida RT, Hieshima GB, Hardin CW, Dowd CF, Barnwell SL (1989) Transarterial occlusion of solitary intracerebral arteriovenous fistulas. AJNR Am J Neuroradiol 10:747–752
Hetts SW, Keenan K, Fullerton HJ, Young WL, English JD, Gupta N, Dowd CF, Higashida RT, Lawton MT, Halbach VV (2012) Pediatric intracranial nongalenic pial arteriovenous fistulas: clinical features, angioarchitecture, and outcomes. AJNR Am J Neuroradiol 33:1710–1719
Koroglu M, Cil B, Yesildag A, Baykal B, Cekirge S, Oyar O (2006) Prenatal diagnosis of intracranial pial arteriovenous fistula and endovascular treatment during the neonatal period. Diagn Interv Radiol 12:64–67
Krings T, Chng SM, Ozanne A, Alvarez H, Rodesch G, Lasjaunias PL (2005) Hereditary hemorrhagic telangiectasia in children: endovascular treatment of neurovascular malformations: results in 31 patients. Neuroradiology 47:946–954
Krings T, Ozanne A, Chng SM, Alvarez H, Rodesch G, Lasjaunias PL (2005) Neurovascular phenotypes in hereditary haemorrhagic telangiectasia patients according to age. Review of 50 consecutive patients aged 1 day-60 years. Neuroradiology 47:711–720
Lv X, Jiang C, Li Y, Yang X, Wu Z (2010) Clinical outcomes of endovascular treatment for intracranial pial arteriovenous fistulas. World Neurosurg 73:385–390
Nesbit GM, Barnwell SL (1998) The use of electrolytically detachable coils in treating high-flow arteriovenous fistulas. AJNR Am J Neuroradiol 19:1565–1569
Newman CB, Hu YC, McDougall CG, Albuquerque FC (2011) Balloon-assisted Onyx embolization of cerebral single-channel pial arteriovenous fistulas. J Neurosurg Pediatr 7:637–642
Potter CA, Armstrong-Wells J, Fullerton HJ, Young WL, Higashida RT, Dowd CF, Halbach VV, Hetts SW (2009) Neonatal giant pial arteriovenous malformation: genesis or rapid enlargement in the third trimester. J Neurointerv Surg 1:151–153
Sasamori T, Hida K, Asano T, Nakayama N, Kuroda S, Iwasaki Y (2009) High-flow arteriovenous fistula of the central nervous system associated with hereditary haemorrhagic telangiectasia. No Shinkei Geka 37:57–63
Smith MD, Russell EJ, Levy R, Crowell RM (1990) Transcatheter obliteration of a cerebellar arteriovenous fistula with platinum coils. AJNR Am J Neuroradiol 11:1199–1202
Tomlinson FH, Rufenacht DA, Sundt TM Jr, Nichols DA, Fode NC (1993) Arteriovenous fistulas of the brain and the spinal cord. J Neurosurg 79:16–27
Upchurch K, Feng L, Duckwiler GR, Frazee JG, Martin NA, Vinuela F (2006) Nongalenic arteriovenous fistulas: history of treatment and technology. Neurosurg Focus 20:E8
Vasudevan K, Spader HS, Grossberg JA, Murphy T, Jayaraman MV (2012) Successful endovascular treatment of a holo-hemispheric cerebral arteriovenous fistula in an infant. J Neurointerv Surg 4:e26
Vinuela F, Fox AJ, Kan S, Drake CG (1983) Balloon occlusion of a spontaneous fistula of the posterior inferior cerebellar artery. Case report. J Neurosurg 58:287–290
Vinuela F, Drake CG, Fox AJ, Pelz DM (1987) Giant intracranial varices secondary to high-flow arteriovenous fistulae. J Neurosurg 66:198–203
Wang YC, Wong HF, Yeh YS (2004) Intracranial pial arteriovenous fistulas with single-vein drainage. Report of three cases and review of the literature. J Neurosurg 100:201–205
Weon YC, Yoshida Y, Sachet M, Mahadevan J, Alvarez H, Rodesch G, Lasjaunias P (2005) Supratentorial cerebral arteriovenous fistulas (AVFs) in children: review of 41 cases with 63 non choroidal single-hole AVFs. Acta Neurochir (Wien) 147:17–31, discussion 31
Yoshida Y, Weon YC, Sachet M, Mahadevan J, Alvarez H, Rodesch G, Lasjaunias P (2004) Posterior cranial fossa single-hole arteriovenous fistulae in children: 14 consecutive cases. Neuroradiology 46:474–481
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Kraneburg, U.M., Nga, V.D.W., Ting, E.Y.S. et al. Intracranial pial arteriovenous fistula in infancy: a case report and literature review. Childs Nerv Syst 30, 365–369 (2014). https://doi.org/10.1007/s00381-013-2217-2
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DOI: https://doi.org/10.1007/s00381-013-2217-2