Volume 3, Issue 2 (9-2017)                   Iran J Neurosurg 2017, 3(2): 67-63 | Back to browse issues page

‎ 10.29252/irjns.3.2.67

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Intracranial Pial Arteriovenous Fistula Mimicking a Vein of Galen Aneurysm with Hydrocephalus Managed with Endovascular Method: Case Report
Jorge Valderrama * 1, Ricardo Garcia2 , Guru Satyarthee3 , Willem Calderon4 , Samer Hoz5 , Alexis Narvaez-Rojas6 , Luis Moscote7
1- National Institute of Neurology and Neurosurgery Manuel Velasco Suarez, Mexico City, Mexico , diplomadoneurotrauma@gmail.com
2- National Institute of Neurology and Neurosurgery Manuel Velasco Suarez, Mexico City, Mexico
3- Department of Neurosurgery, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India
4- Hospital General Dr.Manuel Gea González, Mexico City, Mexico
5- Neurosurgeon, Neurosurgery Teaching Hospital, Baghdad, Iraq
6- The National Autonomous University of Nicaragua, Managua, Nicaragua
7- Department of Neurosurgery, University of Cartagena, Colombia. Telephone: +57 5 6646183. rafaelmoscote21@gmail.com
Abstract:   (4978 Views)

Background and Importance: Intracranial pial arteriovenous fistula is a recently described matter as a rare vascular malformation occurring in children. It is usually located in the subpial space in the intracranial cavity with a high-flow shunt.
Case Presentation: Authors report on a 2-year-old child with intracranial pial arteriovenous fistula and progressive enlargement of head and seizures mimicking progressive obstructive hydrocephalus for eight months. Cranial computed tomography showed a hyperdense midline vein of Galen and enlarged straight sinus associated with obstructive hydrocephalus. Presence of an aneurysm of the vein of Galen was suspected.
Conclusion: Authors believe that cranial screening with computed tomography for suspected early diagnosis is of high importance.

Keywords: Pial, Arteriovenous, Fistula, Galen, Aneurysm, Pediatric, Embolization, Hydrocephalus
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Type of Study: Case report |
References
1. Mirza FA, Fraser JF. Multiple Dural and Pial Arteriovenous Fistulae in a Twenty-Four-Year-Old Woman in the Setting of Superior Sagittal Sinus Thrombosis: Case Report and Review of Literature. J Stroke Cerebrovasc Dis. 2016;25(10):e192-9. [DOI:10.1016/j.jstrokecerebrovasdis.2016.07.037] [PMID]
2. Yu J, Shi L, Lv X, Wu Z, Yang H. Intracranial non-galenic pial arteriovenous fistula: A review of the literature. Interv Neuroradiol. 2016;22(5):557-68. [DOI:10.1177/1591019916653934] [PMID] [PMCID]
3. Hetts SW, Moftakhar P, Maluste N, Fullerton HJ, Cooke DL, Amans MR, et al. Pediatric intracranial dural arteriovenous fistulas: age-related differences in clinical features, angioarchitecture, and treatment outcomes. J Neurosurg Pediatr. 2016;18(5):602-10. [DOI:10.3171/2016.5.PEDS15740] [PMID]
4. Kraneburg UM, Nga VD, Ting EY, Hui FK, Lwin S, Teo C, Chou N, Yeo TT. Intracranial pial arteriovenous fistula in infancy: a case report and literature review. Childs Nerv Syst: ChNS Off J Int Soc Pediatr Neurosurg 2014;30(2):365–369. [DOI:10.1007/s00381-013-2217-2] [PMID]
5. Madsen PJ, Lang SS, Pisapia JM, Storm PB, Hurst RW, Heuer GG. An institutional series and literature review of pial arteriovenous fistulas in the pediatric population: clinical article. Neurosurg Pediatr. 2013;12(4):344–50. [DOI:10.3171/2013.6.PEDS13110] [PMID]
6. Lasjaunias P, ter Brugge KG, Berenstein A. Cerebral arteriovenous fistulas. In: Lasjaunias P, ter Brugge KG, Berenstein A, eds. Surgical neuroangiography, vol 3. 2nd ed. Berlin: Springer-Verlag Berlin Heidelberg; 2006. p. 227–89. https://doi.org/10.1007/978-3-540-68320-9_5 [DOI:10.1007/978-3-540-68320-9_4]
7. Weon YC, Yoshida Y, Sachet M, Mahadevan J, Alvarez H, Rodesch G, Lasjaunias P. Supratentorial cerebral arteriovenous fistulas (AVFs) in children: review of 41 cases with 63 nonchoroidal single-hole AVF. Acta Nerochir. 2005; 147(1):17–31. [DOI:10.1007/s00701-004-0341-1] [PMID]
8. Nishiyama Y, Kanemaru K, Yoshioka H, Hanihara M, Horikoshi T, Kinouchi H Intracranial pial arteriovenous fistula caused by dural tenting: case report. Neurol Med Chir. 2014;54(3):242-4. doi:10.2176/nmc.cr2012-0239 [DOI:10.2176/nmc.cr2012-0239]
9. Panigrahi S, Mishra SS, Das S, Parida DK. Intracerebralpialarteriovenous fistula with large venous varix: a rare case report. Surg Neurol Int. 2013;4:22. [DOI:10.4103/2152-7806.107891] [PMID] [PMCID]
10. Paramasivam S, Toma N, Niimi Y, Berenstein. A Development, clinical presentation and endovascular management of congenital intracranial pial arteriovenous fistulas. J Neurointerv Surg. 2013;5(3):184–90. [DOI:10.1136/neurintsurg-2011-010241] [PMID]
11. Tomlinson FH, Rüfenacht DA, Sundt TM Jr, Nichols DA, Fode NC. Arteriovenous fistulas of the brain and the spinal cord. J Neurosurg 1993;79(1):16–27. [DOI:10.3171/jns.1993.79.1.0016] [PMID]
12. Requejo, F., Jaimovich, R., Marelli, J. et al. Intracranial pial fistulas in pediatric population. Clinical features and treatment modalities. Childs Nerv Syst. 2015;31(9):1509-14. [DOI:10.1007/s00381-015-2778-3] [PMID]
13. Hetts SW, Keenan K, Fullerton HJ, Young WL, English JD, Gupta N, Dowd CF, Higashida RT, Lawton MT, Halbach VV. Pediatric intracranial nongalenic pial arteriovenous fistulas: clinical features, angioarchitecture, and outcomes. AJNR Am J Neuroradiol. 2012;33(9):1710–9. [DOI:10.3174/ajnr.A3194] [PMID]
14. Nelson PK, Nimmy Y, Lasjaunias P, et al. Endovascular embolization of congenital intracranial pial arteriovenous fistulas. Neuroimaging Clin N Am. 1999;2(2):309–17.
15. Sugimoto T, Park YS, Nakagawa I, Nishimura F, Motoyama Y, Nakase H. Effectiveness of intraoperative indocyanine green video angiography in direct surgical treatment of pediatric intracranial pial arteriovenous fistula. J Neurosurg Pediatr. 2015;15(1):55–9. [DOI:10.3171/2014.9.PEDS13683] [PMID]
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