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Intracranial Vascular Abnormalities in Children.
Alaa Montaser1, Edward R Smith1
1Department of Neurosurgery, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
Pediatric Clinics of North America
|July 12, 2021
Summary
This review covers rare intracranial vascular abnormalities, from benign variants to life-threatening conditions, to aid primary care providers in diagnosis and management of these often-occult pathologies.
Area of Science:
- Neurology
- Vascular Medicine
- Primary Care
Background:
- Intracranial vascular abnormalities are uncommon in primary care settings.
- Pathologies range from incidental anatomical variants to critical, life-threatening conditions.
- Diagnosis can cause significant patient anxiety due to varied prognoses.
Purpose of the Study:
- To provide primary care providers with an overview of intracranial vascular lesions.
- To discuss anatomy, pathology, epidemiology, and evaluation strategies.
- To address common clinical questions regarding these conditions.
Main Methods:
- Review of existing literature on intracranial vascular abnormalities.
- Focus on conditions relevant to primary care evaluation.
- Synthesis of information on vascular malformations, arteriopathies, and developmental anomalies.
Main Results:
- Categorization of lesions into vascular malformations (AVMs/AVFs, cavernous malformations) and structural arteriopathies (aneurysms, moyamoya).
- Discussion of common developmental vascular anomalies.
- Emphasis on key evaluation aspects for primary care.
Conclusions:
- Primary care providers need awareness of diverse intracranial vascular pathologies.
- Understanding basic anatomy, epidemiology, and evaluation is crucial.
- This review serves as a guide for managing patient concerns and initial assessments.
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