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Child's Nervous System
Published in: Child's Nervous System 12/2019

01-12-2019 | Magnetic Resonance Imaging | Case Report

Endovascular embolization of dural arteriovenous fistula in a child presented with slight conjunctival hyperemia

Authors: Lei Guo, Ting Liu, Xianli Lv

Published in: Child's Nervous System | Issue 12/2019

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Abstract

Background

Dural arteriovenous fistulas (DAVFs) are rare in pediatrics. A case of DAVF diagnosed because of a slight conjunctival hyperemia and endovascular coil embolization at 2 years old is reported.

Case description

The 2-year-old boy presented with a slight conjunctival hyperemia of the left eye for 1 month. Magnetic resonance imaging (MRI) examination of the head showed abnormal blood flow in the left middle cranial fossa. On digital subtraction angiography, a DAVF with a dural feeder shunt and a venous varix at the middle cranial fossa was confirmed. After transarterial coil embolization, shunt blood flow disappeared.

Conclusions

This report describes a case of DAVF with a slight conjunctival hyperemia treated by coil embolization in a child.
Literature
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Zaidi HA, Kalani MY, Spetzler RF, McDougall CG, Albuquerque FC (2015) Multimodal treatment strategies for complex pediatric cerebral arteriovenous fistulas: contemporary case series at Barrow Neurological Institute. J Neurosurg Pediatr 15(6):615–624CrossRef
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Okazaki T, Sakamoto S, Ishii D, Oshita J, Matsushige T, Shinagawa K, Ichinose N, Matsuda S, Kurisu K (2019) A pial arteriovenous fistula in infancy as the presenting manifestation of hereditary hemorrhagic telangiectasia. World Neurosurg 122:322–325CrossRef
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Niimi Y (2017) Endovascular treatment of pediatric intracranial arteriovenous shunt. Pediatr Int 59(3):247–257CrossRef
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Hetts SW, Moftakhar P, Maluste N, Fullerton HJ, Cooke DL, Amans MR, Dowd CF, Higashida RT, Halbach VV (2016) Pediatric intracranial dural arteriovenous fistulas: age-related differences in clinical features, angioarchitecture, and treatment outcomes. J Neurosurg Pediatr 18(5):602–610CrossRef
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Metadata
Title
Endovascular embolization of dural arteriovenous fistula in a child presented with slight conjunctival hyperemia
Authors
Lei Guo
Ting Liu
Xianli Lv
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 12/2019
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-019-04397-5

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