Prenatal diagnosis of intracranial pial arteriovenous fistula and endovascular treatment during the neonatal period
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Neuroradiology - Case Report 2016
P: 64-67
June 2006

Prenatal diagnosis of intracranial pial arteriovenous fistula and endovascular treatment during the neonatal period

Diagn Interv Radiol 2006;12(2):64-67
1. Department of Radiology, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
2. From the Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey
3. Department of Radiology , Süleyman Demirel University Faculty of Medicine, İsparta, Turkey
4. From the Department of Radiology , Süleyman Demirel University Faculty of Medicine, İsparta, Turkey
5. Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey
6. Department of Radiology , Süleyman Demirel University Faculty of Medicine, İsparta, Turkey
No information available.
No information available
Received Date: 01.02.2005
Accepted Date: 12.02.2005
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ABSTRACT

We present a case with prenatal diagnosis of an intracranial high-flow pial arteriovenous fistula that was draining into the vein of Galen in the third trimester of pregnancy. The child was treated by transcatheter embolization with N-butyl 2-cyanoacrylate (NBCA) via the umbilical artery in the early neonatal period due to intractable cardiac failure. Hydrocephalus developed and a ventriculoperitoneal shunt was placed. At the time this report was prepared, the patient was 20 months old and without cardiac failure, but with a delay in neurological development. Prenatal diagnosis and endovascular treatment in the early neonatal period is important in preventing heart failure and resultant mortality due to such high-flow vascular malformations. To the best of our knowledge, the combination of prenatal diagnosis of an intracranial high-flow pial arteriovenous fistula draining into the vein of Galen and endovascular treatment in the early neonatal period is presented here for the first time.