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The purpose of this study was to show the first reported case of a cerebral arteriovenous fistula (CAVF) from the anterior choroidal artery (AChoA) to the basal vein of Rosenthal in a Child.A 4-month-old male infant with no previous history presented a left thalamic intraparenchymal hemorrhage with secondary intraventricular spread and hydrocephalus. An external ventricular drainage was placed, and a digital subtracted angiography showed a left single hole CAVF. The left AChoA was the single arterial feeder directly connected to the ipsilateral basal vein of Rosenthal. After stabilization and good recovery, he was transferred to our institution for endovascular treatment. He was embolized using the arterial feeder with four Guglielmi detachable coils that produced complete exclusion of the fistula. The patient was discharged 10 days after the procedure without new neurological deficit.CAVFs are exceptional, with an incidence between 4.7

作者:Rodrigo, Rivera;Raphael, Blanc;Michel, Piotin;Laurent, Spelle;Jacques, Moret

来源:Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery 2009 年 25卷 11期

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作者:
Rodrigo, Rivera;Raphael, Blanc;Michel, Piotin;Laurent, Spelle;Jacques, Moret
来源:
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery 2009 年 25卷 11期
The purpose of this study was to show the first reported case of a cerebral arteriovenous fistula (CAVF) from the anterior choroidal artery (AChoA) to the basal vein of Rosenthal in a Child.A 4-month-old male infant with no previous history presented a left thalamic intraparenchymal hemorrhage with secondary intraventricular spread and hydrocephalus. An external ventricular drainage was placed, and a digital subtracted angiography showed a left single hole CAVF. The left AChoA was the single arterial feeder directly connected to the ipsilateral basal vein of Rosenthal. After stabilization and good recovery, he was transferred to our institution for endovascular treatment. He was embolized using the arterial feeder with four Guglielmi detachable coils that produced complete exclusion of the fistula. The patient was discharged 10 days after the procedure without new neurological deficit.CAVFs are exceptional, with an incidence between 4.7