Arteriovenous shunting as a new feature of PHACES. Case report.
Patients with the congenital neurocutaneous disorder PHACES are at a markedly increased risk of ischemic infarction during childhood. Although intracranial arterial anomalies have been well described, venous abnormalities have not been documented. The authors report on a unique case of a 3-month-old girl with PHACES and a skull base osteodural arteriovenous fistula. A separate arteriovenous shunt at T-5 may also have been present. Imaging findings and treatment strategies are discussed.
Wang
Huan
H
Department of Neurosurgery, Children's Hospital Boston, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
Oh
Albert K
AK
Orbach
Darren B
DB
D020785:Central Nervous System Vascular Malformations / Q000175:diagnosis / Q000628:therapy*; D002531:Cerebellum / Q000098:blood supply; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis / Q000628:therapy; D007223:Infant; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis / Q000628:therapy*; D020752:Neurocutaneous Syndromes / Q000175:diagnosis / Q000628:therapy*; D019233:Retreatment; D019291:Skull Base / Q000098:blood supply*