| Arteriovenous fistula of the vertebral artery in a female infant with hypotonia and cephalocorporal disproportion. | |
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MedLine Citation:
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PMID: 20394587 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Congenital arteriovenous fistulas are exceptional in childhood and imply a therapeutic challenge. CASE REPORT: A 9-month-old female infant was studied for cephalocorporal disproportion, hypotonia, progressive muscular atrophy and hyperreflexia. Computed tomography of the brain and electroencephalography were normal. Electromyographic patterns suggested proximal myopathic involvement. A continuous murmur with systolic reinforcement was audible in the neck. Angioresonance detected intracranial aneurysmal dilatations behind the bulbo-medullary junction and cerebral panangiography evidenced a direct vertebrovertebral fistula with extra- and intra-cranial varices and extreme medullary compression. Occlusion of the afferent vessel to the aneurismal sack was successfully achieved with a mixture of Histoacryl and 75% lipiodol via a microcatheter. CONCLUSION: Clinical signs of an arteriovenous fistula may be atypical. Considerable cephalocorporal disproportion and a bruit in the cervical or retromastoidal regions must suggest its existence. Complete obliteration with endovascular embolization permits somatic and neurological recovery. |
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Authors:
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F Núñez; Cecilia Martínez-Costa; F Soler; R Guijarro-Martínez; M L Castelló; J Brines |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta paediatrica (Oslo, Norway : 1992) Volume: 99 ISSN: 1651-2227 ISO Abbreviation: Acta Paediatr. Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-10-12 Completed Date: 2011-02-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9205968 Medline TA: Acta Paediatr Country: Norway |
Other Details:
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Languages: eng Pagination: 1434-6 Citation Subset: IM |
Copyright Information:
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© 2010 The Author(s)/Journal Compilation © 2010 Foundation Acta Paediatrica. |
Affiliation:
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Pediatric Cardiology Unit, Hospital Clínico Universitario of Valencia, Valencia, Spain. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Arteriovenous Fistula*
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diagnosis,
therapy Craniofacial Abnormalities / etiology* Embolization, Therapeutic Failure to Thrive / etiology Female Humans Infant Magnetic Resonance Angiography Muscle Hypotonia / etiology* Spinal Cord Compression / etiology Vertebral Artery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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