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Transient sixth nerve palsies and torticollis secondary to parietal arteriovenous malformation

Hüseyin Per1, Bülent Tucer, Hakan Gümüs

  • 1Pediatric Neurology Department, Erciyes University, Kayseri, Turkey. huseyinper@yahoo.com

Pediatric Neurosurgery
|December 28, 2006
PubMed

Insights

Arteriovenous malformations (AVMs) in children can cause neurological issues. This case shows a young girl with a parietal AVM who recovered fully from temporary sixth nerve palsies and torticollis after treatment.

Area of Science:

  • Neurology
  • Ophthalmology
  • Pediatrics

Background:

  • Intracranial arteriovenous malformations (AVMs) can present with varied neurological and ophthalmological symptoms.
  • Symptoms are often dependent on the AVM's size and location, leading to potential compression of neural structures.

Observation:

  • An 11-month-old female presented with a parietal fistulous AVM.
  • The patient exhibited transient bilateral sixth nerve palsies and torticollis.

Findings:

  • Surgical intervention for the parietal AVM was successful.
  • The patient experienced a complete resolution of the sixth nerve palsies and torticollis post-operatively.

Implications:

  • This case highlights the potential for recovery from AVM-induced neurological deficits in infants.
  • Early diagnosis and treatment of pediatric intracranial AVMs are crucial for favorable outcomes.
  • Understanding the relationship between AVM location and clinical presentation is key for managing ophthalmologic symptoms.

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