Pial arteriovenous fistula resembling the vein of Galen aneurysmal malformation, treated with staged endovascular embolization: a case report
| Autor: | Jin-Xing Li, Da-Peng Mo, Zi-Jun He, Xin-Jian Yang |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Varix medicine.diagnostic_test business.industry medicine.medical_treatment Fistula Arteriovenous fistula General Medicine Blood flow medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Angiography medicine Neurology (clinical) Embolization Vein business 030217 neurology & neurosurgery Cerebral angiography |
| Zdroj: | British Journal of Neurosurgery. :1-5 |
| ISSN: | 1360-046X 0268-8697 |
| Popis: | A 41-month-old boy was presented to our hospital because of an intracranial mass suspected of cerebrovascular malformation. He was admitted and received cerebral angiography. The angiography result confirmed the intracranial mass was the dilated vein of Galen resulting from a pial arteriovenous fistula, which quite resembling the vein of Galen aneurysmal malformation. Considering one-time embolization of the fistula may greatly change the distribution of intracranial blood flow, we decided to perform staged embolization. In the first stage, we partially embolized the fistula, resulting in a sharp decrease in blood flow to the lesion. The second intervention was performed one month later, and completely embolized the fistula. The boy recoverd well and returned to normal childhood without any neurological deficits. Follow-up MR images obtained at 10 months after the last procedure showing total obliteration of the pAVF, gradually shrinking of the varix, and remodeling of the vein of Galen. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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