title: Prenatal diagnosis of intracranial pial arteriovenous fistula and endovascular treatment during the neonatal period.
abstract: We present a case with prenatal diagnosis of an intracranial high-flow pial arteriovenous fistula that was draining into the vein of Galen in the third trimester of pregnancy. The child was treated by transcatheter embolization with N-butyl 2-cyanoacrylate (NBCA) via the umbilical artery in the early neonatal period due to intractable cardiac failure. Hydrocephalus developed and a ventriculoperitoneal shunt was placed. At the time this report was prepared, the patient was 20 months old and without cardiac failure, but with a delay in neurological development. Prenatal diagnosis and endovascular treatment in the early neonatal period is important in preventing heart failure and resultant mortality due to such high-flow vascular malformations. To the best of our knowledge, the combination of prenatal diagnosis of an intracranial high-flow pial arteriovenous fistula draining into the vein of Galen and endovascular treatment in the early neonatal period is presented here for the first time.
authors.affiliation: Department of Radiology , Süleyman Demirel University Faculty of Medicine, Isparta, Turkey. mertkoroglu@hotmail.com
authors.forename: Mert
authors.initials: M
authors.lastname: Köroğlu
authors.forename: Barbaros
authors.initials: B
authors.lastname: Cil
authors.forename: Ahmet
authors.initials: A
authors.lastname: Yeşildağ
authors.forename: Bahattin
authors.initials: B
authors.lastname: Baykal
authors.forename: Saruhan
authors.initials: S
authors.lastname: Cekirge
authors.forename: Orhan
authors.initials: O
authors.lastname: Oyar
mesh_terms: D000328:Adult; D000792:Angiography; D001164:Arteriovenous Fistula / Q000151:congenital / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D016461:Chemoembolization, Therapeutic; D003937:Diagnosis, Differential; D004659:Enbucrilate / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011296:Prenatal Diagnosis; D015641:Radiography, Interventional; D016216:Ultrasonography, Prenatal
chemical_list: D004659:Enbucrilate