Tags

Type your tag names separated by a space and hit enter

[A Case of Pial Arteriovenous Fistulae Associated with Hereditary Hemorrhagic Telangiectasia].
No Shinkei Geka. 2020 May; 48(5):423-428.NS

Abstract

Pial arteriovenous fistulae(pial AVF)are rare vascular lesions. Pial AVF is a complication of hereditary hemorrhagic telangiectasia(HHT)and is associated with a high mortality rate. Here, we report a case of a 14-year-old boy with pial AVF associated with HHT who presented with a seizure. CT and MRI showed enlarged vessels with venous varices in the Sylvian fissure. Digital subtraction angiography(DSA)revealed a pial AVF with a single feeder originating from the middle cerebral artery with large varicose venous drainage, which drained into the transverse sinus, and superior sagittal sinus. A transarterial coil embolization was performed. During the procedure, flow control by a balloon guiding catheter was used. The patient had no neurological deficits after treatment. However, while microsurgery or endovascular treatment are the primary treatment options for pial AVF, there is no consensus regarding their efficacy. Using a balloon guiding catheter to control flow is useful for the treatment of pial AVF with a high-flow shunt.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Saito A
Department of Neurosurgery, Yuri Kumiai General Hospital.
Takahashi Y
No affiliation info available
Wakasa R
No affiliation info available
Suda Y
No affiliation info available

MeSH

AdolescentAngiography, Digital SubtractionArteriovenous FistulaEmbolization, TherapeuticHumansIntracranial Arteriovenous MalformationsMaleSuperior Sagittal SinusTelangiectasia, Hereditary Hemorrhagic

Pub Type(s)

Case Reports
Journal Article

Language

jpn

PubMed ID

32434953

Citation

Saito, Ayana, et al. "[A Case of Pial Arteriovenous Fistulae Associated With Hereditary Hemorrhagic Telangiectasia]." No Shinkei Geka. Neurological Surgery, vol. 48, no. 5, 2020, pp. 423-428.
Saito A, Takahashi Y, Wakasa R, et al. [A Case of Pial Arteriovenous Fistulae Associated with Hereditary Hemorrhagic Telangiectasia]. No Shinkei Geka. 2020;48(5):423-428.
Saito, A., Takahashi, Y., Wakasa, R., & Suda, Y. (2020). [A Case of Pial Arteriovenous Fistulae Associated with Hereditary Hemorrhagic Telangiectasia]. No Shinkei Geka. Neurological Surgery, 48(5), 423-428. https://doi.org/10.11477/mf.1436204204
Saito A, et al. [A Case of Pial Arteriovenous Fistulae Associated With Hereditary Hemorrhagic Telangiectasia]. No Shinkei Geka. 2020;48(5):423-428. PubMed PMID: 32434953.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A Case of Pial Arteriovenous Fistulae Associated with Hereditary Hemorrhagic Telangiectasia]. AU - Saito,Ayana, AU - Takahashi,Yusuke, AU - Wakasa,Ryosei, AU - Suda,Yoshitaka, PY - 2020/5/22/entrez PY - 2020/5/22/pubmed PY - 2020/8/28/medline SP - 423 EP - 428 JF - No shinkei geka. Neurological surgery JO - No Shinkei Geka VL - 48 IS - 5 N2 - Pial arteriovenous fistulae(pial AVF)are rare vascular lesions. Pial AVF is a complication of hereditary hemorrhagic telangiectasia(HHT)and is associated with a high mortality rate. Here, we report a case of a 14-year-old boy with pial AVF associated with HHT who presented with a seizure. CT and MRI showed enlarged vessels with venous varices in the Sylvian fissure. Digital subtraction angiography(DSA)revealed a pial AVF with a single feeder originating from the middle cerebral artery with large varicose venous drainage, which drained into the transverse sinus, and superior sagittal sinus. A transarterial coil embolization was performed. During the procedure, flow control by a balloon guiding catheter was used. The patient had no neurological deficits after treatment. However, while microsurgery or endovascular treatment are the primary treatment options for pial AVF, there is no consensus regarding their efficacy. Using a balloon guiding catheter to control flow is useful for the treatment of pial AVF with a high-flow shunt. SN - 0301-2603 UR - https://www.unboundmedicine.com/medline/citation/32434953/[A_Case_of_Pial_Arteriovenous_Fistulae_Associated_with_Hereditary_Hemorrhagic_Telangiectasia]_ DB - PRIME DP - Unbound Medicine ER -