Abstract
We report the radiological features, including Doppler sonography and magnetic resonance angiography (MRA) findings, of a nongalenic arteriovenous fistula diagnosed in the neonatal period. Hypertensive hydrocephalus developed in infancy. Emergent percutaneous transarterial embolization with n-butyl-2-cyano-acrylate was successfully performed and lead to clinical improvement. MRA allowed a noninvasive followup.
Similar content being viewed by others
References
Aoki N, Sakai T, Oikawa A (1991) Intracranial arteriovenous fistula manifesting as progressive neurological deterioration in an infant: case report. Neurosurgery 28:619–623
Barnell SL, Ciricillo SF, Halbach VV, Edwards MSB, Cogen PH (1990) Intracerebral arteriovenous fistulas associated with intraparenchymal varix in childhood: case reports. Neurosurgery 26:122–125
Brothers MF, Kaufmann JCE, Fox AJ, Deveikis JP (1989) n-Butyl 2-cyanoacrylate-substitute for IBCA in interventional neuroradiology: histopathologic and polymerization time studies. AJNR 10:777–786
Burrows PE, Lasjaunias P, TerBrugge KG (1989) A 4-F coaxial catheter system for pediatric vascular occlusion with detachable balloons. Radiology 170:1091–1094
Ciricillo SF, Edwards MSB, Schmidt KG, Hieshima GB, Silverman NH, Higashida RT, Halbach VV (1990) Interventional neuroradiological management of vein of Galen malformations in the neonate. Neurosurgery 27:22–28
Ciricillo SF, Schmidt KG, Silverman NH, Hieshima GB, Higashida RT, Halbach VV, Edwards MSB (1990) Serial ultrasonographic evaluation of neonatal vein of Galen malformations to assess the efficacy of interventional neuroradiological procedures. Neurosurgery 27:544–548
Cumming GR (1980) Circulation in neonates with intracranial arteriovenous fistula and cardiac failure. Am J Cardiol 45:1019–1024
Di Rocco C (1991) Vein of Galen aneurysm and hydrocephalus. Child's Nerv Syst 7:359
Fournier D, TerBrugge K, Rodesch G, Lasjaunias P (1990) Revascularization of brain arteriovenous malformations after embolization with bucrylate. Neuroradiology 32:497–501
Garcia-Monaco R, De Victor D, Mann C, Hannedouche A, TerBrugge K, Lasjaunias P (1991) Congestive cardiac manifestations from cerebrocranial arteriovenous shunts. Endovascular management in 30 children. Child's Nerv Syst 7:48–52
Garcia-Monaco R, Lasjaunias P, Berenstein A (1992) Therapeutic management of vein of Galen aneurysmal malformations. In: Vinuela F, Halbach VV, Dion JE (eds) Interventional neuroradiology: endovascular therapy of the central nervous system. Raven Press, New York, pp 113–127
Godersky JC, Menezes AH (1987) Intracranial arteriovenous anomalies of infancy: modern concepts. Pediatr Neurosci 13:242–250
Halbach VV, Higashida RT, Hieshima GB, Hardin CW, Dowd CF, Barnwell SL (1989) Transarterial occlusion of solitary intracerebral arteriovenous fistulas. AJNR 10:747–752
Lownie SP, Duckwiler GR, Fox AJ, Drake CG (1992) Endovascular therapy of nongalenic cerebral arteriovenous fistulas. In: Vinuela F, Halbach VV, Dion JE (eds) Interventional neuroradiology: endovascular therapy of the central nervous system. Raven Press, New York, pp 87–106
Musewe NN, Smallhorn JF, Burrows PE, Izukawa T, Freedom RM (1988) Echocardiographic and doppler evaluation of the aortic arch and brachiocephalic vessels in cerebral and systemic arteriovenous fistulas. J Am Coll Cardiol 12:1529–1535
Oyesiku NM, Gahm NH, Goldman RL (1988) Cerebral arteriovenous fistula in the Klippel-Trenaunay-Weber syndrome. Dev Med Child Neurol 30:245–251
Schneider SJ, Wisoff JS, Epstein FJ (1992) Complications of ventriculoperitoneal shunt procedures of hydrocephalus associated with vein of Galen malformations in childhood. Neurosurgery 30:706–708
Tomlinson FH, Piepgras DG, Nichols DA, Rüfenacht DA, Kaste SC (1992) Remote congenital cerebral arteriovenous fistulae associated with aortic coarctation. Case report. J Neurosurg 76:137–142
Tsuruda JS, Sevick RJ, Halbach VV (1992) Three-dimensional time-of-flight MR angiography in the evaluation of intracranial aneurysms treated by endovascular balloon occlusion. AJNR 13:1129–1136
Vinuela F, Drake CG, Fox AJ, Pelz DM (1987) Giant intracranial varices secondary to high-flow arteriovenous fistulae. J Neurosurg 66:198–203
Westra SJ, Curran JG, Duckwiler GR, Zaninovic AC, Hall TR, Martin NA, Boechat MI, Vinuela F (1993) Pediatric intracranial vascular malformations: evaluation of treatment results with color doppler US. Work in progress. Radiology 186:775–783
Zerah M, Garcia-Monaco R, Rodesch G, TerBrugge K, Tardieu M, De Victor D, Lasjaunias P (1992) Hydrodynamics in vein of Galen malformations. Child's Nerv Syst 8:111–117
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hermier, M., Turjman, F., Bozio, A. et al. Endovascular treatment of an infantile nongalenic cerebral arteriovenous fistula with cyanoacrylate. Child's Nerv Syst 11, 494–498 (1995). https://doi.org/10.1007/BF00334975
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00334975