Document Detail

Intracranial arteriovenous anomalies of infancy: modern concepts.
MedLine Citation:
PMID:  3504285     Owner:  NLM     Status:  MEDLINE    
A variety of cerebrovascular abnormalities may become manifest in the first years of life. We present our recent experience with 7 children, ages 1 week to 7 months of age, who presented with congestive heart failure and progressive head enlargement (3), heart failure alone (1) and head enlargement alone (2). The anomalies include vein of Galen aneurysm (3), complex arteriovenous fistula (2) and posterior fossa dural arteriovenous malformations (2). Computed tomographic scanning was invaluable in delineating the site of the lesion while arterial digital subtraction angiography was utilized to obtain the high-quality images, reduced dye volume and rapid filming. Direct surgical intervention was accomplished in 5 cases, while embolization was utilized in 2. One child underwent direct partial occlusion and embolization. Congestive heart failure resolved in 2 of 3 operated cases and improved in those undergoing embolization. Hydrocephalus improved in 2 cases with the elimination of the fistula. Morbidity included seizures and a hemorrhagic infarction in 1 case. Neurologic outcome was satisfactory and there was no surgical mortality.
J C Godersky; A H Menezes
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric neuroscience     Volume:  13     ISSN:  0255-7975     ISO Abbreviation:  Pediatr Neurosci     Publication Date:  1987  
Date Detail:
Created Date:  1989-01-05     Completed Date:  1989-01-05     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8601677     Medline TA:  Pediatr Neurosci     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  242-50     Citation Subset:  IM    
Department of Surgery, University of Iowa Hospital, Iowa City.
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MeSH Terms
Arteriovenous Fistula / radiography,  surgery*
Cerebral Arteries / surgery*
Cerebral Veins / radiography,  surgery*
Heart Failure / etiology
Hydrocephalus / etiology
Infant, Newborn
Intracranial Arteriovenous Malformations / radiography,  surgery*
Tomography, X-Ray Computed*

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