Author/Authors :
Valderrama, Jorge National Institute of Neurology and Neurosurgery Manuel Velasco Suarez, Mexico City, Mexico , Garcia, Ricardo National Institute of Neurology and Neurosurgery Manuel Velasco Suarez, Mexico City, Mexico , Satyarthee, Guru Department of Neurosurgery - Jai Prakash Narayan Apex Trauma Center - All India Institute of Medical Sciences, New Delhi, India , Guillermo Calderon-Miranda, Willem Hospital General Dr.Manuel Gea González, Mexico City, Mexico , Hoz, Samer Neurosurgery Teaching Hospital, Baghdad, Iraq , Narvaez-Rojas, Alexis The National Autonomous University of Nicaragua, Managua, Nicaragua , Moscote-Salazar, Luis Rafael Department of Neurosurgery - University of Cartagena, Colombia
Abstract :
Background and Importance: Intracranial pial arteriovenous fistula is a recently described matter as a rare
vascular malformation occurring in children. It is usually located in the subpial space in the intracranial
cavity with a high-flow shunt.
Case Presentation: Authors report on a 2-year-old child with intracranial pial arteriovenous fistula and
progressive enlargement of head and seizures mimicking progressive obstructive hydrocephalus for eight
months. Cranial computed tomography showed a hyperdense midline vein of Galen and enlarged straight
sinus associated with obstructive hydrocephalus. Presence of an aneurysm of the vein of Galen was suspected.
Conclusion: Authors believe that cranial screening with computed tomography for suspected early diagnosis
is of high importance.
Keywords :
Pial , Arteriovenous , Fistula , Galen , Aneurysm , Pediatric , Embolization , Hydrocephalus
