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KMID : 1237720210540040518
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Anatomy & Cell Biology
2021 Volume.54 No. 4 p.518 ~ p.521
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Giant dural arteriovenous fistula in an infant
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Peper Charles
Iwanaga Joe
Dumont Aaron S.
Tubbs R. Shane
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Abstract
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Dural arteriovenous fistulas (dAVFs) are commonly encountered by the neurosurgeon. Herein, we present a case illustration of an infant presenting with an extremely large fistula that took up a significant part of the intracranial volume. A one-month-old female presented with irritability and failure to thrive. She was the product of a 35-week pregnancy and was delivered vaginally without complications or a difficult labor. Based on the findings of magnetic resonance imaging, the diagnosis of a giant dAVF involving the transerve-sigmoid sinuses was made. The patient was scheduled for an arteriogram but died before the procedure could be performed. Such a case illustrates how large some dAVF can become and at a very early age. As in the present case, the patient was minimally symptomatic. Therefore, the time to intervention after diagnosis is thus, sometimes, critical.
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KEYWORD
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Dural arteriovenous fistula, Infant, Dural venous sinus
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