Pediatric intracranial arteriovenous shunts: Advances in diagnosis and treatment.

Pediatric intracranial arteriovenous shunts: Advances in diagnosis and treatment.
Eur J Paediatr Neurol. 2020 Jan 18;:
Authors: Lv X, Jiang C, Wang J
Abstract
Pediatric intracranial arteriovenous shunts (IAVSs) comprise a wide range of lesions, including pial arteriovenous malformation (AVM) and arteriovenous fistula (AVF), dural arteriovenous fistula (DAVF) and vein of Galen aneurysmal malformation (VGAM). We provide an overview of pediatric IAVSs, encompassing both diagnosis and endovascular treatment. We include references from pertinent literature and representative cases from our hospital. Pediatric IAVS are frequently associated two broader conditions, such as capillary malformation-arteriovenous malformation (CM-AVM) and hereditary hemorrhagic telangiectasia (HHT). These conditions and the associated genetic mutations have only recently been described. Their impact on the brain will be different in the prenatal period, in neonates, in infants, and in children, with variable symptoms according to each age group and the current strategies of endovascular treatment in the management of these vascular lesions will be discussed. This review could improve the understanding of pediatric IAVSs and their diagnosis and treatment.
PMID: 31996298 [PubMed - as supplied by publisher]

Source: European Journal of Paediatric Neurology - January 17, 2020 Category: Neurology Authors: Lv X, Jiang C, Wang J Tags: Eur J Paediatr Neurol Source Type: research