TY - JOUR
T1 - Republished
T2 - A lumbar arteriovenous fistula presenting with intraventricular hemorrhage and hydrocephalus
AU - Miller, Brandon A.
AU - Spears, Robert Christopher
AU - Hines, Thomas K.
AU - Alhajeri, Abdulnasser
AU - Fraser, Justin F.
N1 - Publisher Copyright:
© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2020/3/17
Y1 - 2020/3/17
N2 - Pediatric spinal vascular malformations are rare entities that typically present with symptoms from their effect on surrounding structures. Here we report a unique case of lumbar spinal dural/perimedullary arteriovenous fistula (AVF) that presented with intraventricular hemorrhage and hydrocephalus. The previously healthy child presented with lethargy and headache, and initial imaging revealed only ventriculomegaly with trace intraventricular blood. His mental status improved with CSF diversion via an external ventricular drain. Further workup revealed a spinal AVF that was treated via endovascular embolization. His course was complicated by vasospasm requiring endovascular treatment and he eventually required ventriculoperitoneal shunt placement. He made a full recovery and has returned to his normal activities. This is a unique case of spinal AVF presentation and highlights the importance of considering imaging of the entire neuroaxis during workup for hydrocephalus.
AB - Pediatric spinal vascular malformations are rare entities that typically present with symptoms from their effect on surrounding structures. Here we report a unique case of lumbar spinal dural/perimedullary arteriovenous fistula (AVF) that presented with intraventricular hemorrhage and hydrocephalus. The previously healthy child presented with lethargy and headache, and initial imaging revealed only ventriculomegaly with trace intraventricular blood. His mental status improved with CSF diversion via an external ventricular drain. Further workup revealed a spinal AVF that was treated via endovascular embolization. His course was complicated by vasospasm requiring endovascular treatment and he eventually required ventriculoperitoneal shunt placement. He made a full recovery and has returned to his normal activities. This is a unique case of spinal AVF presentation and highlights the importance of considering imaging of the entire neuroaxis during workup for hydrocephalus.
KW - fistula
KW - hydrocephalus
KW - pediatrics
UR - http://www.scopus.com/inward/record.url?scp=85082080254&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85082080254&partnerID=8YFLogxK
U2 - 10.1136/neurintsurg-2019-015631.rep
DO - 10.1136/neurintsurg-2019-015631.rep
M3 - Article
C2 - 32184274
AN - SCOPUS:85082080254
SN - 1759-8478
VL - 12
SP - e5
JO - Journal of NeuroInterventional Surgery
JF - Journal of NeuroInterventional Surgery
IS - 5
ER -