Developmental outcomes for neonatal dural arteriovenous fistulas.
Large dural arteriovenous malformations (DAVMs) accompanied by cardiac failure usually carry a poor prognosis with a high risk of morbidity and death. The authors report on the case of a male neonate with a massive DAVM who presented at birth with macrocephaly and high-output cardiac failure. The child initially underwent treatment with surgical clipping of the large main feeding artery. Hydrocephalus, thought to be due to venous hypertension, developed when the boy was 8 months old. The condition resolved after interventional embolization treatment. The patient did not require placement of a ventriculoperitoneal shunt. At 21 months of age, the child had near normal development without any focal neurological deficits.
Johnson
Jonathan N
JN
Department of Pediatrics, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Hartman
Tyler K
TK
Barbaresi
William
W
Raffel
Corey
C
Colby
Christopher E
CE
D016534:Cardiac Output, High / Q000503:physiopathology / Q000523:psychology / Q000628:therapy; D020785:Central Nervous System Vascular Malformations / Q000503:physiopathology* / Q000523:psychology* / Q000628:therapy; D002657:Child Development / Q000502:physiology*; D004621:Embolization, Therapeutic; D006333:Heart Failure / Q000503:physiopathology / Q000523:psychology / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009048:Motor Skills / Q000502:physiology; D019635:Neurosurgical Procedures