Diagnostic and Interventional Radiology
Neuroradiology - Case Report 2016

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

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

Diagn Interv Radiol 2006; 12: 64-67
Read: 225 Downloads: 81 Published: 03 September 2019

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.
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