| Intracranial arteriovenous anomalies of infancy: modern concepts. | |
| | |
MedLine Citation:
|
PMID: 3504285 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
J C Godersky; A H Menezes |
Related Documents
:
|
3925745 - Mechanisms of nitrate action in patients with severe left ventricular failure: conceptu... 11171755 - Benign mediastinal lymphadenopathy in congestive heart failure. 2642755 - Arterial baroreflex abnormalities in heart failure. reversal after orthotopic cardiac t... 10835535 - Multiple myeloma involving the myocardium and coronary vessels. 7352245 - Early corticosteroid administration in experimental radiation-induced heart disease. 12716115 - Atrial infarction: a neglected electrocardiographic sign with important clinical implic... |
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 |
Affiliation:
|
Department of Surgery, University of Iowa Hospital, Iowa City. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Arteriovenous Fistula
/
radiography,
surgery* Cerebral Arteries / surgery* Cerebral Veins / radiography, surgery* Female Heart Failure / etiology Humans Hydrocephalus / etiology Infant, Newborn Intracranial Arteriovenous Malformations / radiography, surgery* Male Tomography, X-Ray Computed* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effectiveness of trihexyphenidyl against pendular nystagmus and palatal myoclonus: evidence of choli...
Next Document: External ventricular drainage for initial treatment of neonatal posthemorrhagic hydrocephalus: surgi...