title: An intracranial aneurysm and dural arteriovenous fistula in a newborn.
abstract: The authors present the case of a newborn with an intracerebral aneurysm and a dural arteriovenous fistula. The patient initially presented with intraventricular hemorrhage and hydrocephalus, with evidence of remote subarachnoid hemorrhage, left hemispheric stroke, and sagittal sinus thrombosis. He was treated with a ventriculoperitoneal shunt and subsequent staged endovascular obliteration of both the aneurysm and fistula. Interestingly, the aneurysm did not appear on an artery feeding the abnormal fistula. Intracerebral aneurysms in the neonatal population are rare, and dural arteriovenous fistulae even more so; we present a case of a 2-month-old infant with both, as well as a review of the literature concerning these rare vascular abnormalities.
authors.affiliation: Department of Neurological Surgery, Seattle Children's Hospital, Seattle, WA 98105, USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Ko
authors.forename: Tanya
authors.initials: T
authors.lastname: Filardi
authors.forename: Carlo
authors.initials: C
authors.lastname: Giussani
authors.forename: Raj
authors.initials: R
authors.lastname: Ghodke
authors.forename: Samuel R
authors.initials: SR
authors.lastname: Browd
mesh_terms: D020785:Central Nervous System Vascular Malformations / Q000150:complications* / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D006801:Humans; D006849:Hydrocephalus / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D007231:Infant, Newborn; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D017287:Ventriculoperitoneal Shunt