Prenatal diagnosis of intracranial pial arteriovenous fistula and endovascular treatment during the neonatal period.
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.
Köroğlu
Mert
M
Department of Radiology , Süleyman Demirel University Faculty of Medicine, Isparta, Turkey. mertkoroglu@hotmail.com
Cil
Barbaros
B
Yeşildağ
Ahmet
A
Baykal
Bahattin
B
Cekirge
Saruhan
S
Oyar
Orhan
O
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
D004659:Enbucrilate