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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Vascular malformations of the brain
Frederique Toulgoat1, Pierre Lasjaunias
1Neuroradiology Department, Centre Hospitalier Universitaire Bicêtre, Paris, France.
Handbook of Clinical Neurology
|April 30, 2013
Summary
Pediatric neurovascular malformations require prompt diagnosis and management for optimal neurocognitive outcomes. Early endovascular treatment is crucial for conditions like vein of Galen malformations and pial arteriovenous malformations to prevent developmental delays and seizures.
Area of Science:
- Pediatric Neurology
- Vascular Malformations
- Neurointervention
Background:
- Pediatric neurovascular malformations are rare but necessitate precise diagnosis and timely intervention.
- Several distinct types exist, each with unique clinical presentations and management strategies.
- Early identification is key to preventing severe neurological sequelae.
Purpose of the Study:
- To review the diagnosis and management of common pediatric neurovascular malformations.
- To highlight the importance of early intervention for favorable neurocognitive outcomes.
- To discuss specific treatment approaches for different malformation types.
Main Methods:
- Review of literature on pediatric neurovascular malformations.
- Discussion of diagnostic modalities and therapeutic interventions.
- Focus on endovascular treatment strategies for specific malformations.
Main Results:
- Vein of Galen aneurysmal malformation is the most common in neonates/infants, treated with staged endovascular occlusion.
- Pial arteriovenous malformations require early endovascular treatment to prevent parenchymal damage.
- Dural sinus malformations and other types like brain arteriovenous malformations and cavernous angiomas present with varied symptoms, often hemorrhage.
Conclusions:
- Timely and appropriate management, primarily endovascular, is essential for improving neurocognitive outcomes in pediatric neurovascular malformations.
- Delayed or inadequate treatment can lead to significant long-term neurological deficits, including developmental delay and seizures.
- Understanding the specific characteristics of each malformation type guides effective therapeutic strategies.
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