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Pediatric pial arteriovenous fistula located at the bottom of the callosal sulcus presenting with intraventricular hemorrhage: a case report and literature review

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Abstract

Background

A pial arteriovenous fistula (pAVF) is a rare condition characterized by a direct connection between a cerebral artery and cerebral vein without an intervening nidus. The prognosis is poor in untreated cases with hemorrhagic manifestations, indicating that surgical treatment is desirable. We describe a successful endovascular treatment for a pediatric case of ruptured pAVF located at the bottom of the sulcus.

Clinical description

An 11-year-old girl presented with severe headache and mild disturbance of consciousness. Head computed tomography showed hemorrhage in the callosal sulcus and ventricle. Cerebral angiography showed an arteriovenous shunt without a nidus. The branching artery from the pericallosal artery was connected directly to the thalamostriate vein without varix, and the shunt point was located at the bottom of the callosal sulcus. The patient was diagnosed with pAVF involving a single feeder and single drainer. Emergency endovascular transarterial embolization was performed using 20% N-butyl cyanoacrylate, and the shunt disappeared completely without complications. The patient was discharged with no neurological deficits.

Conclusion

Endovascular treatment is feasible, safe, and effective for pediatric cases of deeply located pAVF.

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References

  1. Lee JY, Son YJ, Kim JE (2008) Intracranial pial arteriovenous fistulas. J Korean Neurosurg Soc 44:101–104

    Article  PubMed  PubMed Central  Google Scholar 

  2. Yamashita K, Ohe N, Yoshimura S, Iwama T (2007) Intracranial pial arteriovenous fistula. Neurol Med Chir (Tokyo) 47:550–554

    Article  Google Scholar 

  3. Yu J, Shi L, Lv X, Wu Z, Yang H (2016) Intracranial non-galenic pial arteriovenous fistula: a review of the literature. Interv Neuroradiol 22:557–568

    Article  PubMed  PubMed Central  Google Scholar 

  4. Halbach VV, Higashida RT, Hieshima GB, Hardin CW, Dowd CF, Barnwell SL (1989) Transarterial occlusion of solitary intracerebral arteriovenous fistulas. AJNR Am J Neuroradiol 10:747–752

    CAS  PubMed  PubMed Central  Google Scholar 

  5. Lv X, Jiang C, Li Y, Yang X, Wu Z (2010) Clinical outcomes of endovascular treatment for intracranial pial arteriovenous fistulas. World Neurosurg 73:385–390

    Article  PubMed  Google Scholar 

  6. Weon YC, Yoshida Y, Sachet M, Mahadevan J, Alvarez H, Rodesch G, Lasjaunias P (2005) Supratentorial cerebral arteriovenous fistulas (AVFs) in children: review of 41 cases with 63 non choroidal single-hole AVFs. Acta Neurochir 147:17–31

    Article  CAS  PubMed  Google Scholar 

  7. Vassilyadi M, Jones BV, Ball WS Jr (2001) Identification of an arteriovenous fistula in a child. Case report and review of the literature. Childs Nerv Syst 17:685–688

    Article  CAS  PubMed  Google Scholar 

  8. Wang YC, Wong HF, Yeh YS (2004) Intracranial pial arteriovenous fistulas with single-vein drainage. Report or three cases and review of the literature. J Neurosurg 100:201–205

    Article  PubMed  Google Scholar 

  9. Yang WH, Lu MS, Cheng YK, Wang TC (2011) Pial arteriovenous fistula: a review of literature. Br J Neurosurg 25:580–585

    Article  PubMed  Google Scholar 

  10. Hoh BL, Putman CM, Budzik RF, Ogilvy CS (2001) Surgical and endovascular flow disconnection of intracranial pial single-channel arteriovenous fistulae. Neurosurgery 49:1351–1364

    Article  CAS  PubMed  Google Scholar 

  11. Kraneburg UM, Nga VDW, Ting EYS, Hui FKH, Lwin S, Teo C, Chou N, Yeo TT (2014) Intracranial pial arteriovenous fistula in infancy: a case report and literature review. Childs Nerv Syst 30:365–369

    Article  CAS  PubMed  Google Scholar 

  12. Niimi Y (2017) Endovascular treatment of pediatric intracranial arteriovenous shunt. Pediatr Int 59:247–257

    Article  PubMed  Google Scholar 

  13. Nelson K, Nimi Y, Lasjaunias P (1992) Endovascular embolization of congenital intracranial pial arteriovenous fistulas. Neuroimaging Clin N Am 2:309–317

    Google Scholar 

  14. Tomilinson FH, Rüfenacht DA, Sundt TM (1993) Arteriovenous fistulas of the brain and the spinal cord. J Neurosurg 79:16–27

    Article  Google Scholar 

  15. Lv X, Li Y, Jiang C, Wu Z (2009) Endovascular treatment of brain arteriovenous fistulas. AJNR Am J Neuroradiol 30:851–856

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Bongetta D, Lafe E, Pugliese R, Cattalani A, Gaetani P, Thyrion FZ (2015) Endovascular embolization of pial arteriovenous fistula fed from P1 segment of posterior cerebral artery in 12 years old girl: case report and review of literature. Neuroradiol J 28:268–273

    Article  PubMed  PubMed Central  Google Scholar 

  17. Mahmoud M, Abdalla RN, Mohamed AH, Farid M (2018) Pial fistula in infancy: report of two cases and literature review with special emphasis on the ruptured group. Interv Neuroradiol 24:444–449

    Article  PubMed  PubMed Central  Google Scholar 

  18. Masuoka J, Sakata S, Maeda K, Matsushima T (2008) Intracranial pial single-channel arteriovenous fistula presenting with significant brain edema. J Neurosurg 109:497–501

    Article  PubMed  Google Scholar 

  19. Signorelli F, Messina R, Maduri R, Barbagallo G, Tacconi L (2019) Microsurgical disconnection of ruptured intracranial ial arteriovenous fistula guided by indocyanine green videoangiography. World Neurosurg 126:280. https://doi.org/10.1016/j.wneu.2019.03.045

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima-shi, Hiroshima, 734-8551, Japan

    Masashi Kuwabara, Shigeyuki Sakamoto, Takahito Okazaki, Jumpei Oshita, Akira Taguchi & Kaoru Kurisu

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  1. Masashi Kuwabara
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  2. Shigeyuki Sakamoto
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  3. Takahito Okazaki
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  4. Jumpei Oshita
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  5. Akira Taguchi
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  6. Kaoru Kurisu
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Correspondence to Masashi Kuwabara.

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Kuwabara, M., Sakamoto, S., Okazaki, T. et al. Pediatric pial arteriovenous fistula located at the bottom of the callosal sulcus presenting with intraventricular hemorrhage: a case report and literature review. Childs Nerv Syst 36, 3129–3133 (2020). https://doi.org/10.1007/s00381-020-04635-1

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  • DOI: https://doi.org/10.1007/s00381-020-04635-1

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