Interventional neuroradiology in the management of paediatric cerebral arteriovenous malformations: illustrative study of three case reports.
Cerebral arteriovenous malformations in children are unusual. Diagnosis and management of these lesions may present a problem. As the prognosis of this disease in children is worse than in adults, intervention is favoured over conservative therapy. Recently, interventional neuroradiology has emerged as an effective mode of treatment for these lesions, particularly in the subgroup of vein of Galen malformations where conservative and surgical therapies are associated with high mortality rates. Three representative cases are discussed to illustrate the role of interventional neuroradiology in different clinical situations. The first is a young child with a vein of Galen malformation. The second is a thirteen-year-old boy with an inoperable deep-seated arteriovenous malformation. The last is a twelve-year-old child with an occipital arteriovenous malformation. A multi-disciplinary approach to the management of these serious lesions is essential in order to achieve the maximum benefit with the lowest possible complication rate.
Hui
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F
Department of Radiology, Tan Tock Seng Hospital, Singapore.
Lasjaunias
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D000293:Adolescent; D001921:Brain / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D002648:Child; D002675:Child, Preschool; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed