A neonatal case of pial arteriovenous fistulas and the review of literature

Yıl 2021, Cilt: 4 Sayı: 4, 520 - 523, 15.07.2021

Mehmet Şah İpek Adil Yılmaz

https://doi.org/10.32322/jhsm.938395

Öz

Pial arteriovenous fistulas (PAVFs) are extremely rare vascular malformations of the brain, and associated with greater morbidity and mortality in neonates and infants. We reported a neonatal case of giant multi-hole PAVFs presented with heart failure and local brain atrophy. The challenges associated with the complexity, outcome and therapeutic options of neonatal PAVFs was discussed. In addition, a review of the published literature on cases of PAVFs diagnosed at neonatal age, over the last two decades, was performed. Comprehensive prognostic evaluation and an optimal treatment strategy offered by a multidisciplinary team at specialized centers should be assured for each case affected.

Anahtar Kelimeler

pial arteriovenous fistula, cerebral arteriovenous malformation, treatment, outcome, neonate

Kaynakça

• Yu J, Shi L, Lv X, Wu Z, Yang H. Intracranial non-galenic pial arteriovenous fistula: A review of the literature. Interv Neuroradiol 2016; 22: 557-68.
• Hetts S, Keenan K, Fullerton H, et al. Pediatric intracranial nongalenic pial arteriovenous fistulas: clinical features, angioarchitecture and outcomes. Am J Neuroradiol 2012; 33: 1710-9.
• Weon YC, Yoshida Y, Sachet M, et al. Supratentorial cerebral arteriovenous fistulas (AVFs) in children: review of 41 cases with 63 nonchoroidal single hole AVFs. Acta Neurochir 2005; 147: 17-31.
• Paramasivam S, Toma N, Niimi Y, Berenstein A. Development, clinical presentation and endovascular management of congenital intracranial pial arteriovenous fistulas. Neuro Intervent Surg 2013; 5: 184-90.
• Garel C, Azarian M, Lasjaunias P, et al. Pial arteriovenous fistulas: dilemmas in prenatal diagnosis, counseling and postnatal treatment. Report of three cases. Ultrasound Obstet Gynecol 2005; 26: 293e6.
• Komiyama M, Terada A, Ishiguro T. Neuro-Interventions for the Neonates with Brain Arteriovenous Fistulas: With Special Reference to Access Routes. Neurol Med Chir (Tokyo) 2016; 56: 132-40.
• Maejima R, Ohshima T, Miyachi S, Matsuo N, Kawaguchi R, Takayasu M. Neonatal Intracranial Pial Arteriovenous Fistula Treated with Endovascular Embolization: A Case Report. World Neurosurg 2018; 118: 261-4.
• Pedicelli A, Iacobucci M, Frassanito P, et al. Prenatal Diagnosis and Multimodal Neonatal Treatment of a Rare Pial Arteriovenous Fistula: Case Report and Review of the Literature. World Neurosurg 2017; 104: 1050.e13-1050.e18.
• Terada A, Komiyama M, Ishiguro T, Niimi Y, Oishi H. Nationwide survey of pediatric intracranial arteriovenous shunts in Japan: Japanese Pediatric Arteriovenous Shunts Study (JPAS). J Neurosurg Pediatr 2018; 22: 550-8.
• Iizuka Y, Murata N, Kohda E, et al. High-flow Neonatal Macrocerebral Arteriovenous Fistulas in Hereditary Hemorrhagic Telangiectasia. Neuroradiol J 2011; 24: 772-8.
• Köroğlu M, Cil B, Yeşildağ A, Baykal B, Cekirge S, Oyar O. Prenatal diagnosis of intracranial pial arteriovenous fistula and endovascular treatment during the neonatal period. Diagn Interv Radiol 2006; 12: 64-7.
• Kim SY, Eun HS, Shin JE, et al. Intracranial pial arteriovenous fistula presenting as brain hemorrhage in newborn infants. Neonatal Med 2015; 22: 228-32.
• Mascarenhas MI, Moniz M, Ferreira S, Goulão A, Barroso R. High-output heart failure in a newborn. BMJ Case Rep 2012; 2012: bcr2012006289.
• Ago M, Masumoto K, Uchiyama A, Aihara Y, Okada Y, Kusuda S. Serial Measurement of Superior Vena Cava Flow in Evaluation of the Clinical Severity of Pial Arteriovenous Fistula in an Infant. AJP Rep 2017; 7: e1-e4.
• Walcott BP, Smith ER, Scott RM, Orbach DB. Pial arteriovenous fistulae in pediatric patients: associated syndromes and treatment outcome. J Neurointerv Surg 2013; 5: 10-4.