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Published on: January 27, 2015
Multiple dural arteriovenous shunts in a 5-year-old boy
S Ushikoshi1, Y Kikuchi, K Miyasaka
1Department of Radiology, Hokkaido University School of Medicine, Sapporo, Japan.
Insights
This study details a rare case of multiple dural arteriovenous shunts (DAVSs) in a child, showing disease progression over time. It discusses the evolution and treatment of pediatric DAVSs.
Area of Science:
- Pediatric Neurology
- Vascular Malformations
- Neuroimaging
Background:
- Dural arteriovenous shunts (DAVSs) are abnormal connections between dural arteries and veins.
- Pediatric DAVSs are rare and can present with diverse clinical and imaging findings.
- Understanding the natural history and evolution of DAVSs in children is crucial for management.
Observation:
- A 5-year-old boy presented with multiple DAVSs.
- Initial MR imaging at 1 year showed a dilated superior sagittal sinus.
- Angiography at 5 years revealed an infantile-type DAVS and two adult-type DAVSs.
Findings:
- The case demonstrates the potential for DAVS development and transformation in children.
- Multiple DAVSs, including both infantile and adult types, were identified.
- The findings highlight the dynamic nature of pediatric dural arteriovenous shunts.
Implications:
- This case contributes to understanding the pathophysiological evolution of DAVSs in pediatric populations.
- It underscores the importance of serial imaging in diagnosing and monitoring pediatric DAVSs.
- The discussion provides insights into current treatment strategies for pediatric DAVSs.
Abstract:
We describe a rare case of multiple dural arteriovenous shunts (DAVSs) in a 5-year-old boy. MR imaging performed at 1 year of age showed only a dilated anterior part of the superior sagittal sinus; however, angiography at 5 years of age revealed an infantile-type DAVS there and two other DAVSs of the adult type. The pathophysiological evolution of DAVSs in children and their treatment strategies are discussed.
