title: Pediatric congenital vertebral artery arteriovenous malformation.
abstract: Vertebral arteriovenous fistulas are rare in children and the congenital form has been seldom reported in the literature. Prior to using endovascular therapy techniques, only surgery was the main treatment. The most common endovascular treatment is through the use of detachable balloons. This report describes the clinical and radiological findings of a congenital vertebral artery fistula in a 20-month-old child. Balloons could not be safely employed; therefore, embolization was performed with Guglielmi detachable microcoils. We review the history and treatment of these lesions, their clinical presentation, and imaging features, including their outcome, with particular attention to the pediatric population.
authors.affiliation: Department of Neurologcal Surgery, Loyola University Medical Center, 2160 S First Avenue, Maywood, IL 60153, USA. hshownk@lumc.edu
authors.forename: Harish
authors.initials: H
authors.lastname: Shownkeen
authors.forename: Davide
authors.initials: D
authors.lastname: Bova
authors.forename: Andrew G
authors.initials: AG
authors.lastname: Chenelle
authors.forename: Thomas C
authors.initials: TC
authors.lastname: Origitano
mesh_terms: D001164:Arteriovenous Fistula / Q000151:congenital / Q000000981:diagnostic imaging* / Q000628:therapy; D001807:Blood Vessel Prosthesis; D004621:Embolization, Therapeutic; D006801:Humans; D007223:Infant; D008297:Male; D015641:Radiography, Interventional; D014711:Vertebral Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging