title: Neonatal dural arteriovenous fistula at the confluence presenting with paralysis of the orbicularis oris muscle.
abstract: A male neonate presented a dural arteriovenous fistula (DAVF) at the confluence with paralysis of the orbicularis oris muscle. The interesting features in our case were the clinical symptoms (orbicularis oris muscle paralysis at birth), angioarchitecture (high-flow arteriovenous shunts at the confluence) and the size and hemodynamic flow (mid-sized venous pouch) of the fistula. Additionally, the embolization technique (i.e., occipital artery approach, closing shunts with pure glue) automatically resulted in the immediate and complete closure of accessory feeders without any additional treatment, and the midterm clinical outcome was good. We succeeded improving the symptoms of a neonate with a congenital high-flow DAVF by closing a fistula using a small amount of glue.
authors.affiliation: Department of Radiology, Toho University Ohashi Medical Center; Tokyo, Japan. yuoii@med.toho-u.ac.jp
authors.forename: Y
authors.initials: Y
authors.lastname: Iizuka
authors.forename: E
authors.initials: E
authors.lastname: Koda
authors.forename: Y
authors.initials: Y
authors.lastname: Tsutsumi
authors.forename: Y
authors.initials: Y
authors.lastname: Konishi
authors.forename: H
authors.initials: H
authors.lastname: Ashida
authors.forename: T
authors.initials: T
authors.lastname: Nakanishi
authors.forename: M
authors.initials: M
authors.lastname: Funabiki
mesh_terms: D000328:Adult; D020785:Central Nervous System Vascular Malformations / Q000150:complications*; D002533:Cerebral Angiography; D005260:Female; D007839:Functional Laterality; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009132:Muscles / Q000503:physiopathology*; D010243:Paralysis / Q000209:etiology* / Q000473:pathology*; D011247:Pregnancy