Neurosurgical vascular malformations in children under 1 year of age.

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Graciela ZuccaroAlejandro Ceciliano

Abstract

This study aims to analyze the clinical and radiological findings, timing and type of treatment, and outcome in children under 1 year of age that presented with neurosurgical vascular malformations. A retrospective review of 23 children under 1 year of age with neurosurgical vascular malformations was performed at a single institution between 1999 and 2009. The lesions found in this age group were: 10 vein of Galen aneurysmal malformations (VGAMs), 5 arteriovenous malformations (AVM), 2 pial arteriovenous fistulas (AVF; 1 in the brain and 1 in the spinal cord), 2 cavernous malformations, 2 dural sinus malformations (DSMs) in the posterior fossa with negative angiography which after surgery turned out to be embryonal malformations of dural sinuses, 1 sacular aneurysm, and 1 dural arteriovenous fistula (DAVF) that drained toward the vein of Galen. Of the 10 patients with VGAM, 8 presented choroidal type and 2 mural type. Two patients with choroidal VGAM were born in dramatically severe clinical condition; therefore, we decided to withhold aggressive treatment, and they died within 48 h after birth. The other eight patients with choroidal VGAM received endovascular treatment between 1 and 3 staged embolizations. In four of them, t...Continue Reading

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Citations

Aug 16, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Yahia Z Al-TamimiAtul K Tyagi
Sep 29, 2011·Acta Neuropathologica·Waney Squier
Mar 8, 2013·Journal of Neurointerventional Surgery·Bradley A Gross, Darren B Orbach
Sep 27, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·José E CohenSamuel Moscovici
Feb 13, 2016·Prenatal Diagnosis·Eran DanonLiat Gindes
Jan 7, 2017·Journal of Neurosurgery. Pediatrics·Jesús A Morales-GómezÁngel Martínez-Ponce de León
Oct 7, 2017·AJNR. American Journal of Neuroradiology·W BrinjikjiD Meila
Oct 28, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Amparo SaenzBeatriz Mantese

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