Fistulas piales cerebrales en pediatría / Pial shunts in pediatric patients
Rev. argent. neurocir
;
25(3): 123-125, jul.-sept. 2011. ilus
Article
in Spanish
| LILACS
| ID: lil-638885
ABSTRACT
Objective:
to analyze our experience in brain pial arteriovenous fistulae in paediatric patients and review the modern concepts about this pathology.Materials andmethod:
between 2004 and 2011, 6 cases of pial arteriovenous fistulae were diagnosed and treated at the National Hospital of paediatrics Juan P.Garrahan, defining them as arteriovenous malformations with one or more arterial connections with one single venous drainage, without interposed nidus. We reviewed the medical records and neuroimaging. The main method for diagnosis was cerebral angiography.Results:
there were 4 male and 2 female patients, ages ranging from 1 month to 14 years old. 3patients presented brain hemorrhage, 2 had seizures as the initial symptom, and one was diagnosed because of his congenital hydrocephalus. 2 were treated with open surgery and 4 with embolisation. There were no important complications or rebleeding.Conclusion:
brain pial fistulas are infrequent vascular malformations important for their high risk of bleeding and relative frequency in paediatrics. The management of these patients needs a multidisciplinary team for analysis, discussion, choosing the most suitable treatment, and follow up.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pediatrics
/
Fistula
Language:
Spanish
Journal:
Rev. argent. neurocir
Journal subject:
Neurosurgery
Year:
2011
Type:
Article
Affiliation country:
Argentina
Institution/Affiliation country:
Hospital Nacional de Pediatría Juan P. Garrahan/AR
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