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Child's Nervous System

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01-06-2021 | Arteriovenous Fistula | Case Report

Giant dural arteriovenous fistula in a pediatric patient: positive outcome following surgical treatment

Authors: Amparo Saenz, Eugenia Badaloni, Carlos Rugilo, Flavio Requejo, Romina Argañaraz, Beatriz Mantese

Published in: Child's Nervous System | Issue 6/2021

Abstract

Purpose

Our purpose is to present an atypical case of a 4-month-old patient with a giant dural arteriovenous fistula (DAVF).

Methods

Presentation of a case report and review of the literature.

Results

The DAVF arterial supply was through the middle meningeal artery bilaterally and the anterior and middle cerebral arteries on the right hemisphere. The venous drainage was through the posterior two-thirds of the superior sagittal sinus. The endovascular team performed an embolization to reduce the flow of the lesion, and finally, the surgical team completed the excision of the residual venous sac, without causing any significant neurological deficit. We used a double surgical approach done with two surgical teams in order to optimize the hemostasis control and reduce morbidity and mortality.

Conclusion

Midline DAVF usually has devastating consequences in children. Endovascular treatment is the first choice since it has lower mortality. Nevertheless, it requires multiple interventions, and the cure of the disease may not be achieved. We believe that joint endovascular and surgical treatment, supported by a reliable multidisciplinary medical team, is a good option for this type of lesions.

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Title: Giant dural arteriovenous fistula in a pediatric patient: positive outcome following surgical treatment
Authors: Amparo Saenz
Eugenia Badaloni
Carlos Rugilo
Flavio Requejo
Romina Argañaraz
Beatriz Mantese
Publication date: 01-06-2021
Publisher: Springer Berlin Heidelberg
Keywords: Arteriovenous Fistula
CT Angiography
Arteriovenous Fistula
Published in: Child's Nervous System / Issue 6/2021
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-020-04923-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Giant dural arteriovenous fistula in a pediatric patient: positive outcome following surgical treatment

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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