Endovascular management of arteriovenous malformations and other intracranial arteriovenous shunts in neonates, infants, and children

Berenstein, Alejandro; Ortiz, Rafael; Niimi, Yasunari; Elijovich, Lucas; Fifi, Johanna T; Madrid, Mary; Ghatan, Saadi; Molofsky, Walter

doi:10.1007/s00381-010-1206-y

Cited by 69 publications

(40 citation statements)

References 9 publications

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“…Recently, from 151 consecutive pediatric patients with intracranial arteriovenous shunts that were evaluated in a 5-year-period, only six patients were found to have dural fistulas. 7 DAVF of the transverse, sigmoid and cavernous sinuses are more prevalent in female patients and usually present a low incidence of intracranial hemorrhage. The risk of hemorrhage is increased by cortical venous recruitment and leptomeningeal retrograde venous drainage.…”

Section: Discussionmentioning

confidence: 99%

Endovascular management of sigmoid sinus dural arteriovenous fistula associated with sinus stenosis in an infant

Cohen

Gomori

Benifla

et al. 2013

Journal of Clinical Neuroscience

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Section: Discussionmentioning

confidence: 99%

Endovascular management of sigmoid sinus dural arteriovenous fistula associated with sinus stenosis in an infant

Cohen

Gomori

Benifla

et al. 2013

Journal of Clinical Neuroscience

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“…12 The development of endovascular techniques, including recent advances in embolization procedures, has led to a notable improvement in survival and mortality rates. 3,5,7,9,21 cognitive outcome in vgam Reports of cognitive impairment and regression have been documented in the context of VGAM, which is often accompanied by radiographic markers of progressive widespread subcortical calcifications and cerebral atrophy. 17 The presence of bilateral and symmetrical cerebral calcifications has been reported previously to coincide with VGAM, and these calcifications are typically located in the subcortical venous watershed areas.…”

Section: Discussionmentioning

confidence: 99%

Neurocognitive improvements following endovascular repair of vein of Galen malformation in a child

Howarth

Reisner

Chern

et al. 2015

PED

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Cognitive regression is a well-described presentation of vein of Galen aneurysmal malformations (VGAMs) in childhood. However, it remains unclear whether successful treatment of the malformation can reverse cognitive regression. Here, the authors present the case of a 5-year-old girl with a VGAM that was treated with staged endovascular embolization procedures. Comprehensive neurocognitive assessments were completed before intervention and approximately 6 years after initial presentation. There were significant age-matched improvements in this child's neurocognitive profile over this period. The authors believe that timely and successful treatment of VGAM in children may not only stabilize the associated cognitive deterioration but, in some cases, may ameliorate these deficits. Details of this case and a discussion of neurocognitive deficits related to VGAM are presented.

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“…None of the cases reported has a permanent neurological deficit or died, and all complications resolved over time [19,53]. These complications could be related to the procedure itself, such as vessel perforation or puncture site hematoma.…”

Section: Treatmentmentioning

confidence: 99%

Arteriovenous Malformations in the Pediatric Population: Review of the Existing Literature

El‐Ghanem

Kass‐Hout

et al. 2016

Intervent Neurol

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Arteriovenous malformations (AVMs) in the pediatric population are relatively rare but reportedly carry a higher rate of rupture than in adults. This could be due to the fact that most pediatric AVMs are only detected after rupture. We aimed to review the current literature regarding the natural history and the clinical outcome after multimodality AVM treatment in the pediatric population, as optimal management for pediatric AVMs remains controversial. A multidisciplinary approach using multimodality therapy if needed has been proved to be beneficial in approaching these lesions in all age groups. Microsurgical resection remains the gold standard for the treatment of all accessible pediatric AVMs. Embolization and radiosurgery should be considered as an adjunctive therapy. Embolization provides a useful adjunct therapy to microsurgery by preventing significant blood loss and to radiosurgery by decreasing the volume of the AVM. Radiosurgery has been described to provide an alternative treatment approach in certain circumstances either as a primary or adjuvant therapy.

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Endovascular management of arteriovenous malformations and other intracranial arteriovenous shunts in neonates, infants, and children

Cited by 69 publications

References 9 publications

Endovascular management of sigmoid sinus dural arteriovenous fistula associated with sinus stenosis in an infant

Endovascular management of sigmoid sinus dural arteriovenous fistula associated with sinus stenosis in an infant

Neurocognitive improvements following endovascular repair of vein of Galen malformation in a child

Arteriovenous Malformations in the Pediatric Population: Review of the Existing Literature

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