Two Consecutive Dural Arteriovenous Fistulae in a Child: a Case Report of Successful Treatment with Gamma Knife Radiosurgery

Overview

Journal Childs Nerv Syst

Specialty Pediatrics

Date 2007 May 10

PMID 17487494

Citations 8

Authors

Hung-Chuan Pan

Jason Sheehan

Chuan-Fu Huang

Dar-Yu Yang

Affiliations

Soon will be listed here.

Abstract

Introduction: The occurrence of dural arteriovenous fistulae in children is quite rare. Endovascular embolization is typically the first line treatment. In general, Gamma Knife radiosurgery is used as adjuvant treatment and seldom performed as the first line treatment in children.

Discussion: We report a case of a 27-month-old girl who presented with an initial dural arteriovenous fistula (AVF) located at anterior base of the left middle cranial fossa. She subsequently developed another dural AVF over the left transverse-sigmoid sinus region 2 years later.

Conclusion: Both fistulae were successfully obliterated with Gamma Knife radiosurgery.

Citing Articles

Characteristics and outcomes of pediatric dural arteriovenous fistulas: a systematic review.

Maleknia P, Hale A, Savage C, Blount J, Rocque B, Rozzelle C Childs Nerv Syst. 2023; 40(1):197-204.

PMID: 37864710 DOI: 10.1007/s00381-023-06156-z.

Paediatric intracranial dural arteriovenous shunts: types, clinical presentation and therapeutic management.

Smajda S, Soderman M, Dorfmuller G, Dorison N, Nghe M, Rodesch G Brain Commun. 2022; 4(2):fcac043.

PMID: 35243346 PMC: 8889109. DOI: 10.1093/braincomms/fcac043.

Therapeutic progress in pediatric intracranial dural arteriovenous shunts: A review.

Yu J, Lv X, Li Y, Wu Z Interv Neuroradiol. 2016; 22(5):548-56.

PMID: 27306522 PMC: 5072209. DOI: 10.1177/1591019916653254.

Progressive versus Nonprogressive Intracranial Dural Arteriovenous Fistulas: Characteristics and Outcomes.

Hetts S, Tsai T, Cooke D, Amans M, Settecase F, Moftakhar P AJNR Am J Neuroradiol. 2015; 36(10):1912-9.

PMID: 26206813 PMC: 7965025. DOI: 10.3174/ajnr.A4391.

A unique type of dural arteriovenous fistula at confluence of sinuses treated with endovascular embolization: a case report.

Gupta R, Miyachi S, Matsubara N, Izumi T, Naito T, Haraguchi K Neurointervention. 2013; 8(1):34-40.

PMID: 23515562 PMC: 3601279. DOI: 10.5469/neuroint.2013.8.1.34.

References

Kubota Y, Ueda T, Kaku Y, Sakai N . Development of a dural arteriovenous fistula around the jugular valve after transvenous embolization of cavernous dural arteriovenous fistula. Surg Neurol. 1999; 51(2):174-6. DOI: 10.1016/s0090-3019(97)00420-5. View

Kutluk K, Schumacher M, Mironov A . The role of sinus thrombosis in occipital dural arteriovenous malformations--development and spontaneous closure. Neurochirurgia (Stuttg). 1991; 34(5):144-7. DOI: 10.1055/s-2008-1052075. View

Lasjaunias P, Magufis G, Goulao A, Piske R, Suthipongchai S, Rodesch R . Anatomoclinical Aspects of Dural Arteriovenous Shunts in Children. Review of 29 cases. Interv Neuroradiol. 2010; 2(3):179-91. DOI: 10.1177/159101999600200303. View

Payne B, Prasad D, Steiner M, BUNGE H, Steiner L . Gamma surgery for vein of Galen malformations. J Neurosurg. 2000; 93(2):229-36. DOI: 10.3171/jns.2000.93.2.0229. View

Koizumi T, Shiraishi T, Hagihara N, Tabuchi K, Hayashi T, Kawano T . Expression of vascular endothelial growth factors and their receptors in and around intracranial arteriovenous malformations. Neurosurgery. 2002; 50(1):117-24; discussion 124-6. DOI: 10.1097/00006123-200201000-00020. View

Kiyosue H, Tanoue S, Okahara M, Yamashita M, Nagatomi H, Mori H . Recurrence of dural arteriovenous fistula in another location after selective transvenous coil embolization: report of two cases. AJNR Am J Neuroradiol. 2002; 23(4):689-92. PMC: 7975091. View

Pan D, Chung W, Guo W, Wu H, Liu K, Shiau C . Stereotactic radiosurgery for the treatment of dural arteriovenous fistulas involving the transverse-sigmoid sinus. J Neurosurg. 2002; 96(5):823-9. DOI: 10.3171/jns.2002.96.5.0823. View

Kincaid P, Duckwiler G, Gobin Y, Vinuela F . Dural arteriovenous fistula in children: endovascular treatment and outcomes in seven cases. AJNR Am J Neuroradiol. 2001; 22(6):1217-25. PMC: 7974771. View

Uranishi R, Nakase H, Sakaki T . Expression of angiogenic growth factors in dural arteriovenous fistula. J Neurosurg. 1999; 91(5):781-6. DOI: 10.3171/jns.1999.91.5.0781. View

10.

Martinelli I, Rosendaal F, Vandenbroucke J, Mannucci P . Oral contraceptives are a risk factor for cerebral vein thrombosis. Thromb Haemost. 1996; 76(3):477-8. View

11.

Gupta R, Horowitz M, Tayal A, Jovin T . De novo development of a remote arteriovenous fistula following transarterial embolization of a carotid cavernous fistula: case report and review of the literature. AJNR Am J Neuroradiol. 2005; 26(10):2587-90. PMC: 7976181. View

12.

Nakagawa H, Kubo S, Nakajima Y, Izumoto S, Fujita T . Shifting of dural arteriovenous malformation from the cavernous sinus to the sigmoid sinus to the transverse sinus after transvenous embolization. A case of left spontaneous carotid-cavernous sinus fistula. Surg Neurol. 1992; 37(1):30-8. DOI: 10.1016/0090-3019(92)90062-r. View

13.

Guo W, Pan D, Wu H, Chung W, Shiau C, Wang L . Radiosurgery as a treatment alternative for dural arteriovenous fistulas of the cavernous sinus. AJNR Am J Neuroradiol. 1998; 19(6):1081-7. PMC: 8338652. View