Abstract
Purpose
The purpose of this study was to show the first reported case of a cerebral arteriovenous fistula (CAVF) from the anterior choroidal artery (AChoA) to the basal vein of Rosenthal in a Child.
Case report
A 4-month-old male infant with no previous history presented a left thalamic intraparenchymal hemorrhage with secondary intraventricular spread and hydrocephalus. An external ventricular drainage was placed, and a digital subtracted angiography showed a left single hole CAVF. The left AChoA was the single arterial feeder directly connected to the ipsilateral basal vein of Rosenthal. After stabilization and good recovery, he was transferred to our institution for endovascular treatment. He was embolized using the arterial feeder with four Guglielmi detachable coils that produced complete exclusion of the fistula. The patient was discharged 10 days after the procedure without new neurological deficit.
Conclusions
CAVFs are exceptional, with an incidence between 4.7% and 17% of all brain AVMs in large reported series. They can arise from any artery of the brain with a great dominance at the supratentorial location. This is the first reported case of a CAVF from the AChoA draining to the basal vein of Rosenthal.
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References
Lasjaunias P, Ter Brugge K, Berenstein A (2006) Cerebral arteriovenous fistulas. In: Lasjaunias P, Ter Brugge K, Berenstein A (eds) Surgical neuroangiography. Clinical and interventional aspects in children. Springer, Berlin, pp 226–289
Weon YC, Yoshida Y, Sachet M, Mahadevan J, Alvarez H, Rodesch G, Lasjaunias P (2005) Supratentorial cerebral arteriovenous fistulas (AVFs) in children: review of 41 cases with 63 non choroidal single-hole AVFs. Acta Neurochir (Wien) 147:17–31 discussion 31
Ozanne A, Alvarez H, Krings T, Lasjaunias P (2007) Pediatric neurovascular malformations: vein of Galen arteriovenous malformations (VGAM), pial arteriovenous malformations (pial AVM), dural sinus malformations (DSM). J Neuroradiol 34:145–166
Tomlinson FH, Rufenacht DA, Sundt TMJ, Nichols DA, Fode NC (1993) Arteriovenous fistulas of the brain and the spinal cord. J Neurosurg 79:16–27
Wang YC, Wong HF, Yeh YS (2004) Intracranial pial arteriovenous fistulas with single-vein drainage. Report of three cases and review of the literature. J Neurosurg 100:201–205
Garcia-Monaco R, Taylor W, Rodesch G, Alvarez H, Burrows P, Coubes P, Lasjaunias P (1995) Pial arteriovenous fistula in children as presenting manifestation of Rendu-Osler-Weber disease. Neuroradiology 37:60–64
Santosh C, Teasdale E, Molyneux A (1991) Spontaneous closure of an intracranial middle cerebral arteriovenous fistula. Neuroradiology 33:65–66
Lasjaunias P, Ter Brugge K (1997) Pial arteriovenous malformation. In: Lasjaunias P, Ter Brugge K (eds) Vascular diseases in neonates, infants, and children. Springer, Berlin, pp 203–219
Nelson PK, Niimi Y, Lasjaunias P, Berenstein A (1992) Endovascular embolization of congenital arteriovenous fistulas. Neuroimaging Clinics of North America 47:309–331
Acknowledgment
We would like to thank Paul Schmidt MD for his kind help in English revision.
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Rivera, R., Blanc, R., Piotin, M. et al. Single hole cerebral arteriovenous fistula between the anterior choroidal artery and the basal vein of Rosenthal in a child. Childs Nerv Syst 25, 1521–1523 (2009). https://doi.org/10.1007/s00381-009-0921-8
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DOI: https://doi.org/10.1007/s00381-009-0921-8