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[Intracranial arteriovenous malformations in children and adolescents]
C Díaz de Heredia Rubio1, F Castillo Salinas, L Colomer Kammüller
1Departamento de Pediatría, Hospital Valle de Hebrón, Barcelona.
Insights
This study on pediatric intracranial arteriovenous malformations found bleeding was the most common symptom. Most children recovered well after neurosurgery or radiosurgery, with one fatality.
Area of Science:
- Neurology
- Pediatric Neurosurgery
- Vascular Malformations
Background:
- Intracranial arteriovenous malformations (AVMs) are rare vascular anomalies.
- Pediatric AVMs present unique diagnostic and management challenges.
- Intracranial bleeding is a significant complication of AVMs in children.
Observation:
- Intracranial bleeding was the most frequent clinical presentation among the studied pediatric patients.
- Brain angiography confirmed cavernous hemangioma in five of the six patients, with anatomopathological diagnosis.
- Patients ranged in age from 5 to 13 years.
Findings:
- Three children underwent neurosurgery, and two received radiosurgery for their AVMs.
- Five out of six pediatric patients achieved a satisfactory recovery post-treatment.
- One patient experienced a fatal outcome following surgical intervention.
Implications:
- Highlights the significant risk of intracranial bleeding in pediatric AVMs.
- Demonstrates the potential for successful treatment outcomes with both neurosurgery and radiosurgery in children.
- Underscores the importance of timely diagnosis and intervention for pediatric intracranial vascular malformations.
Abstract:
Six children, ranging in age from 5 years to 13 years, with a history of intracranial arteriovenous malformation were studied from 1980 to 1989. The more frequent clinical presentation was the intracranial bleeding. The brain angiography was performed on five patients who were all diagnosed with cavernous hemangioma the diagnosis was anatomopathologic. Three patients were treated with neurosurgery and two patients were treated with radiosurgery. Only one patient died after the operation and the other five had a satisfactory recovery.